TW201141500A - Use of coconut water extract or coconut shell extract for treating immunological diseases and/or disorders - Google Patents

Use of coconut water extract or coconut shell extract for treating immunological diseases and/or disorders Download PDF

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TW201141500A
TW201141500A TW099140712A TW99140712A TW201141500A TW 201141500 A TW201141500 A TW 201141500A TW 099140712 A TW099140712 A TW 099140712A TW 99140712 A TW99140712 A TW 99140712A TW 201141500 A TW201141500 A TW 201141500A
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coconut
extract
water extract
inflammation
coconut water
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TW099140712A
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TWI530294B (en
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Rong-Tsun Wu
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Rong-Tsun Wu
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/88Liliopsida (monocotyledons)
    • A61K36/889Arecaceae, Palmae or Palmaceae (Palm family), e.g. date or coconut palm or palmetto
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7004Monosaccharides having only carbon, hydrogen and oxygen atoms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7016Disaccharides, e.g. lactose, lactulose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/702Oligosaccharides, i.e. having three to five saccharide radicals attached to each other by glycosidic linkages
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/715Polysaccharides, i.e. having more than five saccharide radicals attached to each other by glycosidic linkages; Derivatives thereof, e.g. ethers, esters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/16Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • A61P19/02Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/08Drugs for disorders of the metabolism for glucose homeostasis
    • A61P3/10Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/02Immunomodulators
    • A61P37/06Immunosuppressants, e.g. drugs for graft rejection

Abstract

A method for treating immunological diseases and/or disorders associated with tumor necrosis factor-alpha (TNF- α ) are disclosed. The method comprises administering to a subject in need thereof a therapeutically effective amount of the coconut water extract or the coconut shell extract through induction of transforming growth factor beta (TGF- β ) or interleukin-10 (IL-10) as an endogenous immunosuppressive factor.

Description

201141500 六、發明說明: [相關專利申請案之交互參照] 本申請案主張2009年11月25曰所申请之美國第 61/264,254號申請案之優先權,並以參照方式將該申請案 之全部内容併入本文中° 【發明所屬之技術領域】 本發明一般係關於椰子水或椰殼萃取物,且更具體而 言,係用於治療免疫疾病及/或異常。 【先前技術】 椰子在熱帶國家係作為熱帶水果及飲料。已有報導來 自椰子之果殼纖維的抗微生物及抗病毒活性主要是由於高 含量的盼化合物(Esquenazi D. et al. 2002)。 椰子的生物活性亦包含:對於抗無環鳥苷第一型單純 疮療病毒(acyclovir-resistant herpes simplex virus type 1)的 抑制活性、抗利什曼蟲作用(leishmanicidal effects) (Mendonpa-Filho RR. et al. 2004)、保護血紅素(hemoglobin) 避免因亞硝酸鹽(nitrite)所引起的氧化反應而轉變成變性 血紅素(methemoglobin)、以及自由基清除活性(AlvianoDS. et al. 2004)。椰子水是椰果(coconut fruit)之溶液,且已報 導為普遍及天然含有較少副作用的提神飲料(refreshing drink)。椰子水由於存在有醣類(carb〇hydrates)、維生素、 電解質、鑛物質與蛋白質,因此經常作為營養配方飲料及 食物產品(Santoso U. et ai. 1996 及 Campbell-Falck D. et al. 2000)。除此之外’椰子水亦用於保存綿羊的卵泡及狗的精 3 111906 201141500 液、山羊卵巢初級卵泡的活體外培養(Figueire(i〇 J.R. 2000 及 Andrade ER. et al. 2002)、以及植物組織培養(Tiajnen,τ. 1993)。此外,已報導椰子水對於人類的細菌性病原具有抑 制活性(Mandal SM. et al. 2009),並且具有抗潰瘍的效果 (Nneli RO.及 Woyike OA. 2008) 〇 在哺乳動物中,皮膚是外皮系統(Integumentary system) 的最大器官,且扮演外界病原入侵的防禦屏障。皮膚發炎 會演變成對傷害的保護反應,從而消除外來有機體 (organism)或物質,且發炎的解決機制保護我們對抗過度的 組織傷害。發炎的解決機制失敗會引起慢性發炎,並導致 許多皮膚疾病。在鼠科動物疾病模型中指出,TNF受體的 異質性用於自體免疫疾病抑制對抗發炎組織的傷害,此建 議選擇性的TNF受體抑制對於治療慢性發炎疾病的抗 TNF 治療是有利的(Apostolaki M,Armaka M,Victoratos P et al. 2010)。腫瘤壞死因子a(TNF-a)的量在牛皮癬患者 (psoriatic patient)的水泡流體吸著及企清呈相關增加,且與 疾病的嚴重度成正比(Ettehadi P. et al. 1994、Bonifati C. et al. 1994 及 Groves R. et al. 2004)。 發炎會變成對損害(insult)或是傷害的保護反應,發炎 的原始反應是消除或是中和外來有機體或物質,發炎的解 決機制包含内生性的抗發炎機制,其保護我們對抗過度的 組織傷害,並促使組織結構和功能的修復。事實上,我們 的健康(well being)及生存依靠發炎的效率以及仔細平衡的 控制。一般而言,先天性發炎反應(innate inflammatory 4 111906 201141500 response)在數分鐘之内即可引發,如果全部健全,在數小 時内解除反應。相反的,慢性發炎卻持續數周,甚至是數 個月或數年(Lawrence T” Gilroy D.W. 2007)。在急性發炎 的後期,會產生白細胞介素10及TGF-/3,以限制發炎並 ^ 促進解決機制。這兩個細胞介素(IL-10及TGF-yS)係與發 。 炎的解決機制有關(Lawrence T. and Gilroy D.W. 2007 及 Serhan C.N. et al. 2007) ° 由於肝臟的解剖位置連結腸胃道(gastrointestinal tract) 與全身性靜脈循環(systemic venous circulation),因此肝臟 在免疫耐力(immunological tolerance)中扮演重要的角色。 因此’必須避免對抗來自消化道之食物或細菌抗原的免疫 反應。肝臟的功能是作為清除器官(clearance organ),然 而’卻隱藏著將被降解及/或消除之物質導致組織損害的危 險。因此,有效的防禦機制是必要的。在非實質細胞庫佛 氏細胞(Kupffer cells)、竇狀内皮細胞(sinusoidal endothelial cells)、及自然殺手(NK)淋巴球中係對全身發揮細胞防禦功 能,而且是適合肝臟本身。再者,肝臟的每種細胞類型, 包含肝細胞,擁有其自己的防紫基器(defenSe apparatus) (Erhardt A. et al. 2010 及 Ramadori G. et. al. 2008)。 類風濕性關節炎的病理特徵是關節囊内的滑液發炎 增生形成關節翳(pannus),而關節翳會漸漸侵犯軟骨甚至 是硬骨表面。罹患類風濕性關節炎的病患其免疫系統已失 去辨&忍自我與非自我的能力。免疫系统首先攻擊四肢等高 活動性關節令的滑液組織和結缔組織,接著破壞骨形成與 111906 5 201141500 再吸收之間的平衡機制,並活化破骨細胞,因而造成關節 軟骨及硬骨的破壞。 由於類風濕性關節炎的免疫機制涉及複雜的網絡連 接各種細胞及細胞激素,因此類風濕性關節炎的詳細病原 機制到目前仍然不明(Gary S. and Firestein,M. 2005)。 類風濕性關節炎或其他關節炎相關疾病,如骨關節炎 (osteoarthritis)、僵直性脊椎炎(ankylosing spondylitis)、及 急性痛風性關節炎(acute gouty arthritis)的藥物治療包含非 類固醇消炎藥物(non-steroidal anti-inflammatory drugs, NS AID)、皮質類固醇(corticosteroid)、疾病修飾抗風濕病 藥物(Disease Modifying Anti-Rheumatic Drugs,DMARD)、 以及生物製劑。因為關節炎是一種發炎的狀況,所以第一 線治療係針對抑制發炎並且舒解病徵,例如NSAIDs及皮 質類固醇,其係有效控制與關節炎有關的疼痛、腫脹和僵 硬。然而,這兩種治療皆有副作用,且對長期的結果有限 制的影響。生物製劑,例如恩博(Etanercept)、因福利美 (Infliximab)和阿達木單抗(Adalimumab),常與甲胺蝶吟 (Methotrexate)合併使用,且對類風濕性關節炎的病患亦顯 示有效,但由於價格考量,所以可能被認為是第二選擇。 DMARDs,包含曱胺蝶吟、奎寧(hydroxychloroquine)、柳 氮續B比咬(sulfasalazine)、來氟米特(leflunomide)以及其他 抗風濕性藥物,例如金鹽(Gold salt)和環孢靈 (cyclosporine),係慢性作用化合物(slow-acting compound),且主要作用是抑制免疫細胞的增生以及減少 6 111906 201141500 發炎反應。雖然DMARDs普遍用於診斷類風濕性關節炎之 病例’但是已報導的副作用和毒性值得注意(Gaffo A. etal. 2006、Gary S. and Firestein,Μ· 2003 及 Gary S. and201141500 VI. INSTRUCTIONS: [Reciprocal References for Related Patent Applications] This application claims priority to US Application No. 61/264,254, filed on Nov. 25, 2009, the entire disclosure of The content is incorporated herein. [Technical Field of the Invention] The present invention relates generally to coconut water or coconut shell extracts and, more particularly, to the treatment of immune diseases and/or abnormalities. [Prior Art] Coconut is a tropical fruit and drink in tropical countries. It has been reported that the antimicrobial and antiviral activity of the shell fiber from coconut is mainly due to the high content of the desired compound (Esquenazi D. et al. 2002). The biological activity of coconut also includes: inhibitory activity against acyclovir-resistant herpes simplex virus type 1 and leishmanicidal effects (Mendonpa-Filho RR. Et al. 2004), hemoglobin to avoid conversion to methemoglobin and free radical scavenging activity due to oxidative reactions caused by nitrite (Alviano DS. et al. 2004). Coconut water is a solution of coconut fruit and has been reported as a refreshing drink that generally and naturally contains fewer side effects. Coconut water is often used as a nutritional formula and food product due to the presence of carb〇hydrates, vitamins, electrolytes, minerals and protein (Santoso U. et ai. 1996 and Campbell-Falck D. et al. 2000). . In addition, 'Coconut water is also used to preserve sheep's follicles and dog's sperm 3 111906 201141500 liquid, goat ovary primary follicles in vitro culture (Figueire (i〇JR 2000 and Andrade ER. et al. 2002), and plants Tissue culture (Tiajnen, τ. 1993). In addition, coconut water has been reported to have inhibitory activity against human bacterial pathogens (Mandal SM. et al. 2009) and has antiulcer effects (Nneli RO. and Woyike OA. 2008). In mammals, the skin is the largest organ of the Integumentary system and acts as a defensive barrier to the invasion of external pathogens. Skin inflammation can evolve into a protective response to injury, thereby eliminating exogenous organisms or substances, and inflammation. The solution mechanism protects us against excessive tissue damage. Failure of the inflammatory mechanism can cause chronic inflammation and lead to many skin diseases. In the murine disease model, it is pointed out that the heterogeneity of TNF receptors is used to suppress autoimmune diseases. Inflamed tissue damage, suggesting that selective TNF receptor inhibition is beneficial for anti-TNF therapy for chronic inflammatory diseases (Apostolaki M, Armaka M, Victoratos P et al. 2010). The amount of tumor necrosis factor a (TNF-a) is associated with increased blister fluid sorption and clearance in psoriatic patients, and is associated with severe disease The degree is proportional (Ettehadi P. et al. 1994, Bonifati C. et al. 1994 and Groves R. et al. 2004). Inflammation can become a protective response to damage or injury, and the original response to inflammation is elimination. Or neutralizing foreign organisms or substances, the inflammatory mechanism of action contains endogenous anti-inflammatory mechanisms that protect us against excessive tissue damage and promote the repair of organizational structure and function. In fact, our health and Survival depends on the efficiency of inflammation and careful balance control. In general, the innate inflammatory response (innate inflammatory 4 111906 201141500 response) can be triggered within a few minutes, if all is sound, the reaction is released within a few hours. Conversely, Chronic inflammation lasts for weeks, even months or years (Lawrence T" Gilroy DW 2007. In the later stages of acute inflammation, white blood cells are produced - 10 and TGF- / 3, to limit inflammation and facilitate resolution mechanisms ^ which two cytokine (IL-10 and TGF-yS) based AND DEVELOPMENT. The mechanism of inflammation is related (Lawrence T. and Gilroy DW 2007 and Serhan CN et al. 2007) ° The liver is at immune endurance due to the anatomical location of the liver, the gastrointestinal tract and the systemic venous circulation. (immunological tolerance) plays an important role. Therefore, it is necessary to avoid an immune response against food or bacterial antigens from the digestive tract. The function of the liver is as a clearing organ, but it hides the risk of tissue damage caused by substances that will be degraded and/or eliminated. Therefore, an effective defense mechanism is necessary. In the non-parenchymal cells Kupffer cells, sinusoidal endothelial cells, and natural killer (NK) lymphocytes, they exert systemic defense functions on the whole body and are suitable for the liver itself. Furthermore, each cell type of the liver, including hepatocytes, has its own defenSe apparatus (Erhardt A. et al. 2010 and Ramadori G. et. al. 2008). The pathological hallmark of rheumatoid arthritis is the inflammation of the synovial fluid in the joint capsule, which forms a pannus, which gradually invades the cartilage and even the hard bone surface. Patients with rheumatoid arthritis have lost their ability to recognize and tolerate self and non-self. The immune system first attacks the synovial tissue and connective tissue of the high-activity joints of the limbs, and then destroys the balance mechanism between bone formation and resorption of 111906 5 201141500, and activates the osteoclasts, thus causing the destruction of articular cartilage and hard bone. . Since the immune mechanism of rheumatoid arthritis involves complex networks linking various cells and cytokines, the detailed pathogenic mechanism of rheumatoid arthritis remains unknown (Gary S. and Firestein, M. 2005). Rheumatoid arthritis or other arthritis-related diseases such as osteoarthritis, ankylosing spondylitis, and acute gouty arthritis include non-steroidal anti-inflammatory drugs (non -steroidal anti-inflammatory drugs, NS AID), corticosteroids, disease modifying anti-Rheumatic Drugs (DMARD), and biological agents. Because arthritis is an inflammatory condition, first-line treatments are aimed at inhibiting inflammation and soothing symptoms, such as NSAIDs and corticosteroids, which are effective in controlling pain, swelling and stiffness associated with arthritis. However, both treatments have side effects and have limited impact on long-term results. Biologics, such as Etanercept, Infliximab, and Adalimumab, are often combined with methotrexate and are also effective in patients with rheumatoid arthritis. However, due to price considerations, it may be considered the second choice. DMARDs, including guanamine pterin, hydroxychloroquine, sulfasalazine, leflunomide, and other antirheumatic drugs such as gold salt and cyclosporine ( Cyclosporine) is a slow-acting compound and its main function is to inhibit the proliferation of immune cells and reduce the inflammatory response of 6 111906 201141500. Although DMARDs are commonly used to diagnose cases of rheumatoid arthritis, the side effects and toxicity reported have been noted (Gaffo A. et al. 2006, Gary S. and Firestein, Μ· 2003 and Gary S. and

Firestein,M. 2005)。 與魏察在疾病進程中的對象間的變化(interpatient variability)組合調控機制的複雜性及重複性,解釋一些病 患為什麼會對特定治療有反應而其他病患卻不會有反應, 特別是以免疫事件的下游調控為目標。目前涉及類風濕性 關節炎之免疫反應的藥物專一性標靶上游的細胞激素,包 含IL-1抑制劑(例如阿那白滯素(anakinra)及阿那白滯素 (kineret))、抗腫瘤壞死因子(anti-TNF- α )試劑(例如恩博 (etanercept)、因福利美(infliximab)及阿達莫單抗 (adalimumab)),T細胞活化之共刺激阻礙劑(例如阿巴西普 (abatacept)),以及選擇性 B 細胞消耗劑(depletion agent), 例如抗CD20單株抗體(例如利妥昔單抗(rituximab)) (Gaffo A. et al. 2006、Gary S, and Firestein,Μ. 2003 及 Gary S. and nrestein,M. 2005)。這些試劑可以專一性抑制異常免疫反 應,因而抑制發炎,但是由於免疫抑制的副作用,使病患 亦處於感染的高風險。 因此,迄今為止,在所屬技術領域中,仍然存在著前 述的缺失與不便所未解決的需求,本發明特別是與椰子水 萃取物或椰殼萃取物有關。 【發明内容】 在一個態樣中,本發明係關於一種用於在需要的對象 111906 7 201141500 上治療與腫賴死因子α (ΤΝΡ·α)相關聯之免疫疾Ί 或異常之方法,包括投予治療有效量的挪子水卒取1者 殼萃取物’以誘導轉化生長因0 (TCFW· 10(IL-10)作為内生性免疫抑制因子。 椰子水萃取物威揶毅萃取物係藉由下述方法製備’ 〇 括: (a)將椰子水或梛殻水通過樹脂吸附型層析管枉,其 中,該椰殼水是將水加至椰殼而獲得; (b) 以水洗滌該管枉;以及 (c) 以能夠從該管柱中解吸附該椰子水萃取物或椰殼 萃取物之任何溶液或溶劑之組合來洗提該管柱。 椰子水萃取物或椰殼萃取物有效治療免疫疾病及/或 異常’該免疫疾病及/或異常係選自皮膚發炎、肝臟發炎及 類風濕性關節炎所組成之群組之至少一者。 上述以及本發明的其他態樣將可在結合以下較佳具 體實施例的說明結合圖式後而變得較為明確,雖然可對上 述實施例進行改變與修飾,但是仍不違背本發明新賴概念 的精神以及範圍。 附圖說明本發明的一個或是多個具體實施例,連同書 面說明,兩者用以解釋本發明的原理。只要可能的話,在 圖式中所用的㈣參考符號係代表相同或是類似的具體實 施例元件。 【實施方式】 本說明書中所使用的術語在本發明所屬技術領域 111906 8 201141500 中、本發明内容範圍内、以及在特定内容中所用的各個術 語,一般具有他們的通常意義。用以描述本發明的某些術 語將於後討論,或是在說明書中的其他地方討論,以供做 為從事者瞭解本發明說明的額外指導。為了方便起見,某 些術語可能會被強調,例如使用斜體字及/或引號來表現。 使用強調的方式表現並不影響術語的範圍與意義,在相同 背景下,不管術語是否有被強調,該術語的範圍與意義仍 是相同的。值得注意的是,同一件事可能會以超過一種方 式來說明。因此,在本文中會使用可替換性的語言以及同 義詞來表現任何一個或多個的術語,不論該術語是否有在 本文中進行精闢的闡述或是討論,使用可替換性的語言以 及同義詞都沒有特定的意義。本發明會提供某些術語的同 義詞。一個或多個常用的同義詞並不排除其他同義詞的使 用。本說明書中任何部分所提到的例子(包含所討論的任何 術語的例子)都是用來說明而已,並沒有限制本發明的範圍 及意義或是任何當作例子來說明的術語。同樣地,本發明 也不受限於本說明書所提供的各種具體實施例。 除非有特別地定義,否則在本文中所用的技術性或是 特定術語都有其對於在本發明所屬領域中具通常知識者一 般所瞭解的相同意義。至於意見分歧的部分,本申請文件 (包含定義的部分)將會進行控管。 本文所使用的『約』、『大約』或是『近似』一般是 指一個指定的數值或是範圍的20%以内,較佳地是指10% 以内,而更佳地是指5%以内。本文所提到的數值量只是 9 111906 201141500 接近值,意指如果沒有明確表示,則術語『約』、『大約』 或是『近似』可以經推想而知。 以下說明根據本發明之具體實施例所使用的示範性 裝置、設備、方法以及其相關的結果,非意欲限制本發明 的範圍。應注意的是,在實施例中所使用的標題與子標題 只是為了供讀者易於閱讀,而並不限制本發明的範圍。另 外,以下也會說明並揭露一些理論,然而,不論他們的對 錯,只要本發明可以在不需要根據特別理論方案而能實施 時,這些說明及揭露都不該限制本發明的範圍。 實施例 實施例1製備椰子水萃取物或椰殼萃取物 椰子(Cocos wwcz/era Linw.)水及椰⑽以片⑽ 殼係自水果販售商所購買的新鮮椰子(台灣屏東 縣),247.68公斤(用以取得椰子水),2.1公斤(用以取得椰 子殼)。椰子殼加水,然後以果汁機打碎後得到椰殼水。椰 子水(47.6公升)或椰殼水(2.7公升)以玻璃微纖維過濾器進 行過濾,濾液再於4°C下連續通過一個Diaion HP-20(日本 三菱化學有限公司(Mitsubishi Chemical Co.,Japan)(52 公 分x5公分)管柱進行層析。於4°C在凝膠(gel)上所吸附的殘 留物以去離子水(4公升,流速·· 20 ml/min)第一次洗提, 然後使用100%甲醇(ACS等級;台灣景明化工有限公司 (Echo Chemical Co Ltd·,Taiwan))(約 6.5 公升,流速:8.3 ml/min)洗提’直到各個洗提液的UV2〇〇-4()()nm的吸收訊號偵 10 111906 201141500 測不到為止。收集並冷凍乾燥各個去離子水洗提液,以獲 * 得水洗提產物,其主要為醣類,秤重為2438.9公克(取自 • 椰子水萃取物)或13〇公克(取自椰殼萃取物)。收集各個 100。/。甲醇洗提液,以真空蒸發濃縮,並且冷凍乾燥,以獲 . 得甲醇洗提產物,此在本說明書中名為椰子水萃取物或揶 , 殼萃取物。 藉由薄層層析(TCL)進行層析,用以特徵化存在於去 離子水及甲醇洗提液中的醋類含量。TLC層析圖譜係在石夕 膠TLC片(德國默克公司(Merck,Germany))上移動,使用 1-丁醇:乙酸:水[3.2:4:0.6 (v/v)]作為洗提液,以及聚醯 胺TLC片(德國Macherey-Nagel),使用乙酸乙酯:吡啶: 水[6:3:2 (v/v)]作為洗提液。將去離子水與乙醇洗提 液的滯留因子(retention factor,Rf)值與醣類標準品(D(+) 半乳糖、D(+)葡萄糖、D(+)甘露糖、£)(+)阿拉伯糖、d(+) 核糖、D(+)木糖及麥芽糖;美國sigma公司)作比較,同時 所有醣類係藉由基笨甲醚鄰苯二甲酸(anisidine phthalate) 試劑呈色。Firestein, M. 2005). The complexity and repetitiveness of the combination of regulatory mechanisms with Wecha's interpatient variability, explains why some patients respond to specific treatments, but others do not respond, especially The downstream regulation of immune events is the goal. The cytokine upstream of the drug-specific target for the immune response of rheumatoid arthritis, including IL-1 inhibitors (such as anakinra and kineret), anti-tumor Necrosis factor (anti-TNF-α) agents (eg etanercept, infliximab and adalimumab), co-stimulatory inhibitors of T cell activation (eg abatacept) ), and a selective B cell depletion agent, such as an anti-CD20 monoclonal antibody (eg, rituximab) (Gaffo A. et al. 2006, Gary S, and Firestein, Μ. 2003 and Gary S. and nrestein, M. 2005). These agents can specifically inhibit abnormal immune responses and thus inhibit inflammation, but because of the side effects of immunosuppression, patients are also at high risk of infection. Thus, to date, there has been a need in the art to address the aforementioned deficiencies and inconveniences, particularly in relation to coconut water extracts or coconut shell extracts. SUMMARY OF THE INVENTION In one aspect, the present invention relates to a method for treating an immune disorder or abnormality associated with swollen reliance factor alpha (ΤΝΡ·α) on a subject 111906 7 201141500, including The therapeutically effective amount of the scorpion water extract 1 shell extract 'to induce transformation growth factor 0 (TCFW · 10 (IL-10) as an endogenous immunosuppressive factor. Coconut water extract Wei Yiyi extract by Prepared by the following method: (a) passing coconut water or clam shell water through a resin adsorption type chromatography tube, wherein the coconut shell water is obtained by adding water to the coconut shell; (b) washing with water Tubes; and (c) eluting the column with any solution or combination of solvents capable of desorbing the coconut water extract or coconut shell extract from the column. Coconut water extract or coconut shell extract is effective Treating an immune disease and/or abnormality - the immune disease and/or abnormality is selected from at least one of the group consisting of skin inflammation, liver inflammation, and rheumatoid arthritis. The above and other aspects of the invention will be Combined with the description of the following preferred embodiments The drawings are intended to be illustrative, and may be modified and modified without departing from the spirit and scope of the present invention. The drawings illustrate one or more embodiments of the invention, together with In the written description, the two are used to explain the principles of the present invention. Whenever possible, the reference signs used in the drawings represent the same or similar specific embodiment elements. [Embodiment] The terms used in this specification are The various terms used in the technical scope of the present invention, in the scope of the present invention, and in the specific content, generally have their ordinary meanings. Certain terms used to describe the present invention will be discussed later, or The rest of the specification is discussed as an additional guide for the practitioner to understand the description of the invention. For convenience, certain terms may be emphasized, such as in italics and/or quotation marks. Performance does not affect the scope and meaning of the term, in the same context, regardless of whether the term is emphasized or not, the term The scope and meaning are still the same. It is worth noting that the same thing may be explained in more than one way. Therefore, in this article, alternative language and synonyms are used to represent any one or more terms, regardless of Whether the term is elaboration or discussion in this article, and the use of alternative language and synonyms have no specific meaning. The present invention provides synonyms for certain terms. One or more commonly used synonyms do not exclude others. Use of Synonyms. The examples mentioned in any part of this specification, including examples of any terms discussed, are intended to be illustrative, and do not limit the scope and meaning of the invention or any terms that are described as examples. As such, the invention is not limited to the specific embodiments disclosed herein. The technical or specific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which the invention pertains, unless specifically defined. As for the differences of opinions, this application (including the definitions) will be controlled. As used herein, "about", "about" or "approximate" generally refers to a specified value or range of less than 20%, preferably within 10%, and more preferably within 5%. The numerical quantities mentioned in this paper are only close to the value of 9 111906 201141500, which means that the term "about", "about" or "approximate" can be imagined if not explicitly stated. The exemplary devices, devices, methods, and associated results thereof, which are used in accordance with the present invention, are not intended to limit the scope of the invention. It should be noted that the headings and sub-headings used in the embodiments are only for the convenience of the reader, and do not limit the scope of the invention. In addition, some of the teachings are also described and disclosed below, however, regardless of their ambiguity, the description and disclosure are not intended to limit the scope of the invention. EXAMPLES Example 1 Preparation of Coconut Water Extract or Coconut Shell Extract Coconut (Cocos wwcz/era Linw.) Water and Coconut (10) Tablets (10) Shell Fresh coconut purchased from a fruit vendor (Pingdong County, Taiwan), 247.68 kg (to obtain coconut water), 2.1 kg (to obtain coconut shell). The coconut shell is filled with water, and then broken with a juice machine to obtain coconut shell water. Coconut water (47.6 liters) or coconut shell water (2.7 liters) was filtered through a glass microfiber filter, and the filtrate was continuously passed through a Diaion HP-20 at 4 ° C (Mitsubishi Chemical Co., Japan) ) (52 cm x 5 cm) column chromatography. The residue adsorbed on the gel at 4 ° C was first eluted with deionized water (4 liters, flow rate · 20 ml/min) And then eluted with 100% methanol (ACS grade; Echo Chemical Co Ltd., Taiwan) (about 6.5 liters, flow rate: 8.3 ml/min) until the UV2〇〇 of each eluent- 4()()nm absorption signal detection 10 111906 201141500 Can not be detected. Collect and freeze-dry each deionized water eluate to obtain the water-washed product, which is mainly sugar, weighing 2438.9 g (taken • • coconut water extract) or 13 gram grams (taken from coconut shell extract). Collect 100% methanol extracts, concentrate by vacuum evaporation, and freeze-dry to obtain methanol elution product. In this specification it is called coconut water extract or sputum, shell extract. Chromatography by thin layer chromatography (TCL) to characterize the vinegar content present in deionized water and methanol eluate. The TLC chromatogram is attached to the TLC tablet (Merck, Germany) , Germany)) moving, using 1-butanol: acetic acid: water [3.2:4:0.6 (v/v)] as the eluent, and polyamine TLC tablets (Macherey-Nagel, Germany), using ethyl acetate : pyridine: water [6:3:2 (v/v)] as the eluent. The retention factor (Rf) value of deionized water and ethanol eluate and the sugar standard (D(+) Galactose, D(+) glucose, D(+) mannose, £) (+) arabinose, d(+) ribose, D(+) xylose and maltose; American sigma) for comparison, all sugars It is colored by an anisidine phthalate reagent.

Rf值及呈色顯示出去離子水洗提液與葡萄糖及甘露醣 標準品相近,其可能示意葡萄糖及甘露醣在椰子水或椰殼 中為主要的單醣。100%曱醇洗提液的結果顯示幾乎不含醣 類。 實施例2椰子水萃取物或椰殼萃取物對於脂多醣誘導 RAW 264.7細胞發炎的效果 11 111906 201141500 RAW 264.7細胞是鼠類巨嗤細胞的細胞株,且經常被 用在發炎反應的研究。在96孔盤(Falcon)中將RAW 264.7 細胞(4 X l〇4cells/well)置於含有1〇 %(v/v)胎牛血清(FBS, Gibco)之DMEM高葡萄糖(Gibco)中過夜,然後在沒有椰子 水萃取物或椰殼萃取物中(控制組)或存在0.1、1及10 y g/ml椰子水萃取物或存在1、10及100 // g/ml椰殼水萃取 物中以 1 # g/ml 脂多膽(lip〇p〇lysaccharide) (LPS ; Sigma, USA)處理。正常組係不以LPS處理亦不以椰子水萃取物或 椰殼萃取物處理。經過24小時的培養週期後,利用DAN 分析測量懸浮物的一氧化氮(NO)產量,並且使用雷沙紫分 析(resazurin assay)測量細胞的存活率。 一氧化氮(NO)參與發炎反應,因而可被當作指 標’以評估發炎反應的效果β 2,3-二胺基萘 (2,3-Diaminonaphthalene,DAN,Sigma,USA)與亞硝酸鹽在 酸性條件下可還原生成1_(H)_萘并三唑,此產物為一螢光 產物。將100 y 1的樣本先加入盤内。將5〇以丨新鮮配製 的DAN (0.01 mg/m卜在〇 62 M HC1中)加入並且立即混 合。在37 C下培養1〇分鐘後,加入25〆丨2 8 N的Na〇H 中止反應。使用螢光分析儀(QuoreseeMpiatereader)以355 nm的激發光激發並且讀取46〇 nm的發射光以測量螢光強 度(Misko TP. et al. 1993)。結果表示為平均值±s D (標準差) ㈣)。,控制組相比***表示p<〇顧。如第i圖所示, 挪子水萃取物和椰殼萃取物具有相似的生物活性,其顯著 地抑制以脂多醣(LPS)誘導RAW 264.7細胞之發炎的一氧 12 111906 201141500 化氮(NO)產生。 細胞分化的能力可以雷沙紫分析來測量(Nociari mm. et al. 1998) ’其中雷沙紫染料(resazurin dye)用為氧化還原 反應的指示劑,可以用來偵測細胞生長,但無法用來測量 細胞死亡。配製5 mM雷沙紫鈉(Resazurin sodium) (Sigma, USA)儲存溶液於磷酸鹽緩衝生理食鹽水(ph〇sphate buffer saline) (PBS),且工作溶液(5〇 gM)從該儲存液使用不含 FBS的DMEM高葡萄糖(Gibco)所稀釋。進行雷沙紫分 析,將培養液移除,接著將新鮮稀釋的雷沙紫工作溶液加 入各個孔中。接著,細胞在附有水盤的培養箱(5〇/〇 C〇2_95%空氣)在37°C的條件下培養2小時,雷沙紫染料 會被活細胞還原成還原態,雷沙紫的還原態經由Victor 2 1420 Multilable Counter (Wallac,PerkinElmer)在螢光激發 波長530 nm及發射波長590 nm下偵測。椰子水萃取物或 椰殼萃取物對於LPS誘導的發炎反應的抑制作用(第1圖) 不是因為細胞數目的減少,並且椰子水萃取物或椰殼萃取 物並不具細胞毒性。 實施例3椰子水萃取物在TPA刺激的HaCaT細胞中對於 TNF-α基因表現的效果The Rf value and coloration show that the outgoing ion water extract is similar to the glucose and mannose standards, which may indicate that glucose and mannose are the main monosaccharides in coconut water or coconut shell. The results for the 100% sterol eluent showed almost no sugar. Example 2 Effect of coconut water extract or coconut shell extract on lipopolysaccharide-induced RAW 264.7 cell inflammation 11 111906 201141500 RAW 264.7 Cells are cell lines of murine giant scorpion cells and are often used in the study of inflammatory reactions. RAW 264.7 cells (4×1〇4 cells/well) were placed in DMEM high glucose (Gibco) containing 1% (v/v) fetal bovine serum (FBS, Gibco) overnight in a 96-well plate (Falcon). Then in the absence of coconut water extract or coconut shell extract (control group) or in the presence of 0.1, 1 and 10 yg/ml coconut water extract or in the presence of 1, 10 and 100 // g/ml coconut shell water extract 1 # g/ml lip 〇 p〇lysaccharide (LPS; Sigma, USA). The normal group was not treated with LPS nor treated with coconut water extract or coconut shell extract. After a 24-hour incubation period, the nitric oxide (NO) production of the suspension was measured by DAN analysis, and the cell survival rate was measured using a resazurin assay. Nitric oxide (NO) is involved in the inflammatory response and can therefore be used as an indicator to assess the effects of inflammatory reactions. β 2,3-Diaminonaphthalene (DAN, Sigma, USA) and nitrite It can be reduced under acidic conditions to form 1-(H)-naphthotriazole, which is a fluorescent product. A sample of 100 y 1 is first added to the pan. Five DAN freshly prepared DAN (0.01 mg/m b in 〇 62 M HC1) was added and mixed immediately. After incubation at 37 C for 1 minute, the reaction was stopped by the addition of 25 〆丨 28 N of Na〇H. Fluorescence intensity was measured using a fluorescence analyzer (Quoresee Mpiatereader) with excitation light at 355 nm and reading emission at 46 〇 nm (Misko TP. et al. 1993). Results are expressed as mean ± s D (standard deviation) (iv)). The control group represents p< As shown in Figure i, the water extract and the coconut shell extract have similar biological activities, which significantly inhibit the inflammation of RAW 264.7 cells induced by lipopolysaccharide (LPS). 12 111906 201141500 Nitrogen (NO) produce. The ability to differentiate cells can be measured by Rayleigh violet assay (Nociari mm. et al. 1998) 'Resazurin dye is used as an indicator of redox reaction and can be used to detect cell growth but not To measure cell death. Prepare 5 mM Resazurin sodium (Sigma, USA) storage solution in phosphate buffered saline (PBS), and the working solution (5〇gM) is not used from the stock solution. DMEM diluted with DBS high glucose (Gibco). The thunder purple analysis was carried out, the culture solution was removed, and then the freshly diluted thundersha violet working solution was added to each well. Next, the cells were cultured for 2 hours at 37 ° C in an incubator with a water tray (5 〇 / 〇 C 〇 2 _ 95% air), and the Rasha violet dye was reduced to a reduced state by living cells, and the reduction of Rasha The state was detected by a Victor 2 1420 Multilable Counter (Wallac, PerkinElmer) at a fluorescence excitation wavelength of 530 nm and an emission wavelength of 590 nm. The inhibition of LPS-induced inflammatory response by coconut water extract or coconut shell extract (Fig. 1) is not due to a decrease in the number of cells, and coconut water extract or coconut shell extract is not cytotoxic. Example 3 Effect of coconut water extract on TNF-α gene expression in TPA-stimulated HaCaT cells

HaCaT細胞株為人類角質細胞細胞株。將HaCaT細胞 (2.5 X 105 cells/well ;於 6 孔盤中)培養在含有 10 % (v/v) 胎牛血清(FBS; Gibco)的DMEM高葡萄糖(Gibco)之96 孔盤24小時。然後在96孔盤將培養液換成含有2%(v/v)胎 13 111906 201141500 牛血清(FBS; Gibco)的DMEM高葡萄糖,並培養24小時。 然後以2 ng/ml 12-0-十四烷醯巴豆醇-13-乙酸酯 (12-O-tetradecanoyl-phorbol-l3-acetate) (TPA,Sigma),在 沒有椰子水萃取物(控制組)或0.1、1及10 β g/ml椰子水 萃取物存在下處理。正常組係以PBS處理。 6小時培養週期後,利用RareRNA試劑(Bio-East,台灣) 根據操作指南的使用方法從HaCaT細胞分離全部核糠核 酸(ribonucleic acid,RNA),並且利用莫洛尼氏鼠類白血腫 瘤病毒反轉錄酶(Moloney murine leukemia virus reverse transcriptase)(Promega)將RNA轉為互補去氧核糖核酸 (complementary deoxyribonucleic acid,cDNA)。接著進行 定量反轉錄聚合酶鏈反應(quantitative reverse transcription-polymerase chain reaction,RT-PCR),其反應 混合物總體為20 #卜包含lxSYBR GREEN PCR master mix,混有0.5 的正向和反向引子,以及3 ygcDNA。 欲偵測引子對(primers):腫瘤壞死因子a (TNF- α )(序列 編號1及2)及GAPDH (序列邊號3及4)係顯示於表1。反 應係以 ABI PRISM 7500 序列债測系統(Sequence Detector System) (Applied Biosystems)在 96 孔微滴盤(microtiter plate)進行。反應混合物先在50°C培養2分鐘並在95°C培 養10分鐘,接著進行40個循環的放大反應。此放大反應 的步驟為在95 °C變性15秒,接著在55 °C引子黏接 (annealing)40 秒以及在 72〇C 延展(expression)40 秒。以小鼠 GAPDH的表現量作為内部參考。相對基因表現量是以2- 14 111906 201141500 △△CT方法計算。結果表示為平均值±S.D.(n=2)。與以PBS . 處理相比較,##p< 0.01。與沒有TPA相比較,*P < 0.05, **P < 0.01。如第2圖顯示’ 0.1、1、10 /zg/ml椰子水萃 取物顯著地抑制在TPA刺激的HaCaT細胞中對於TPA誘 導的TNF- α基因表現。 表一 引子名稱 序 列 序列 編號 TNF-a 前置引子 5,-CGG TGC CTA TGT CTC AGC CTC T-3, 1 TNF-a 反置引子 5,-CAC TCC AGC TGC TCC TCC ACT T-3, 2 GAPDH 前置引子 5,-GCA AAT TCC ATG GCA CCG T -3’ 3 GAPDH 反置引子 5,-TCG CCC CAC TGA TTT TGG-3, 4 實施例4椰子水萃取物在HaCaT細胞中對於IL-10及 TGF-万基因表現的效果 將HaCaT細胞(2.5 X 105 cells/well ;於6孔盤中)置於 含有10%(ν/ν)胎牛血清(FBS ; Gibco)的DMEM高葡萄糖 (Gibco)之96孔盤(Falcon)24小時。然後在96孔盤(Falcon) 將培養液換成含有2%(v/v)胎牛血清(FBS ; Gibco)的 DMEM高葡萄糖(Gibco),並培養24小時。然後以0· 1、1 15 111906 201141500 及10 yg/ml椰子水萃取物處理,正常組係以pBS處理。 6小時培養週期後,利用RareRNA試劑(Bi〇_East,台灣) 根據操作指南的使用方法從HaCaT細胞分離全部核糖核 酸(RNA),並且利用莫洛尼氏鼠類白血腫瘤病毒反轉錄酶 (Promega)將RNA轉為互補去氧核糖核酸(cDNA)。接著進 行定量反轉錄聚合酶鏈反應(RT-PCR),其反應混合物總體 積為 20 "卜包含 lxSYBR GREEN PCR master mix,混有 0.5 的正向和反向引子,以及3 egCDNA。欲偵測引 子對:白細胞介素10 (IL-10)(序列編號5及6)、轉化生長 因子冷(TGF-点)(序列編號7及8)及GAPDH (序列編號9 及10)係顯示於表2。反應係以ABI PMSM 7500序列偵測 系統(Applied Biosystems)在96孔微滴盤中進行。反應混合 物先在50°C培養2分鐘及在95°C培養1〇分鐘,接著進行 40個循環的放大反應。此放大反應的步驟為在95°C變性 15秒、接著在55°C引子黏接40秒、以及在72°C延展40 秒。以小鼠GAPDH的表現量作為内部參考。相對基因表 現量是以2· △△ CT方法計算,結果表示為平均值士 S.D.(n=2)。與僅以PBS相比較,< 〇.〇卜如第3圖顯 示,椰子水萃取物在HaCaT細胞中具有誘導IL-10 (第3A 圖)以及TGF-召(第3B圖)基因表現的趨勢。 16 111906 201141500 表二 引子名稱 序 列 序列 編號 IL-10 前置引子 5,-GCC TAA CAT GCT TCG AGA TC-3, 5 IL-10 反置引子 5’-TGATGT CTG GGT CTT GGT TC-3, 6 TGF-/3 前置引子 5,-AAA TGG ATA CAC GAA CCC AA-3, 7 ΎβΈ-β 反置引子 5’-GCT GCA TTT GCA AGA CTT TAC-3, 8 GAPDH 前置引子 5,-GCA AAT TCC ATG GCA CCG T -3, 9 GAPDH 反置引子 5’-TCG CCC CAC TGATTT TGG-3, 10 實施例5椰子水萃取物對於TPA誘導耳朵皮膚發炎模型 的效果 8週齡之雌性BALB/c小氣係購買於國家實驗研究院 :驗動物中心(NLAC,台灣)。為了在小鼠耳朵誘導 γ小鼠係_下财式驗化:在沒有椰子料取 ^組)或兩天口服。.2小5_的挪子水 (二 :,於小鼠耳朵之上皮膚塗抹8〇_ 12_〇_十四:里 醇-13-乙酸醋(TPA,Sigma)。正常組係以pBs處理。丑 111906 17 201141500 在6小時及36 λΜ夺TPA處理後,記錄小鼠耳朵皮膚 厚度(第4圖)。結果表示為平均值±S D (n=2至6)。與正常 組相比’ #!> < 0.05,_P < 〇 〇〇卜與僅以τρΑ處理相比, < 0.05, **P < 〇.〇1,< 〇 〇〇卜如第 4 圖顯示,在 6 小時TPA處理後’ 5 mg/kg的挪子水萃取物對於了伙 誘導的小鼠耳朵皮膚發炎反應有顯著的抑制作用,以及在 36小時TPA處理後,藉由〇 2、】、5 的挪子水萃取 物對於TPA誘導的小鼠耳朵皮膚的發炎反應也有顯著的 抑制作用。 在36小時TPA處理後,將小鼠耳朵皮膚的生物切片 藉由蘇木紫及伊紅染色法(Hemat〇xylin and E〇sin) (h&e)The HaCaT cell line is a human keratinocyte cell line. HaCaT cells (2.5 X 105 cells/well; in 6-well plates) were cultured in 96-well plates of DMEM high glucose (Gibco) containing 10% (v/v) fetal bovine serum (FBS; Gibco) for 24 hours. The culture was then replaced with DMEM high glucose containing 2% (v/v) fetus 13 111906 201141500 bovine serum (FBS; Gibco) in a 96-well plate and cultured for 24 hours. Then with 2 ng/ml 12-0-tetradecanoyl-phorbol-l3-acetate (TPA, Sigma) in the absence of coconut water extract (control group) Or treatment with 0.1, 1 and 10 β g/ml coconut water extract. The normal group was treated with PBS. After a 6-hour culture period, all of the ribonucleic acid (RNA) was isolated from HaCaT cells using RareRNA reagent (Bio-East, Taiwan) according to the protocol, and reverse transcription was performed using Moloney's murine white blood tumor virus. The enzyme (Moloney murine leukemia virus reverse transcriptase) (Promega) converts RNA into complementary deoxyribonucleic acid (cDNA). Next, quantitative reverse transcription-polymerase chain reaction (RT-PCR) is carried out, and the reaction mixture is generally 20 #b containing lxSYBR GREEN PCR master mix, mixed with 0.5 forward and reverse primers, and 3 ygcDNA. To detect primers: tumor necrosis factor a (TNF-α) (SEQ ID NOs 1 and 2) and GAPDH (sequences 3 and 4) are shown in Table 1. The reaction was performed on a 96-well microtiter plate using the ABI PRISM 7500 Sequence Detector System (Applied Biosystems). The reaction mixture was first incubated at 50 ° C for 2 minutes and at 95 ° C for 10 minutes, followed by 40 cycles of amplification. The step of amplifying the reaction was denaturation at 95 °C for 15 seconds, followed by an indexing at 55 °C for 40 seconds and an expression at 72 °C for 40 seconds. The amount of expression of mouse GAPDH was used as an internal reference. The relative gene expression was calculated by the 2- 14 111906 201141500 △ △ CT method. Results are expressed as mean ± S. D. (n = 2). Compared with PBS. treatment, ##p<0.01. *P < 0.05, **P < 0.01 compared to no TPA. As shown in Figure 2, '0.1, 1, 10 / zg/ml coconut water extract significantly inhibited TPA-induced TNF-α gene expression in TPA-stimulated HaCaT cells. Table 1 Introduction Name Sequence SEQ ID NO: TNF-a Pre-priming 5, -CGG TGC CTA TGT CTC AGC CTC T-3, 1 TNF-a Inverse primer 5, -CAC TCC AGC TGC TCC TCC ACT T-3, 2 GAPDH Pre-priming 5,-GCA AAT TCC ATG GCA CCG T -3' 3 GAPDH Inversion primer 5,-TCG CCC CAC TGA TTT TGG-3, 4 Example 4 Coconut water extract in HaCaT cells for IL-10 and Effect of TGF-Wan Gene Expression HaCaT cells (2.5 X 105 cells/well; in a 6-well plate) were placed in DMEM high glucose (Gibco) containing 10% (v/v) fetal bovine serum (FBS; Gibco). 96-well plate (Falcon) for 24 hours. The culture was then replaced with DMEM high glucose (Gibco) containing 2% (v/v) fetal calf serum (FBS; Gibco) in a 96-well plate (Falcon) and cultured for 24 hours. It was then treated with 0·1, 1 15 111906 201141500 and 10 yg/ml coconut water extract, and the normal group was treated with pBS. After 6 hours of culture, use RareRNA reagent (Bi〇_East, Taiwan) to separate all ribonucleic acid (RNA) from HaCaT cells according to the protocol, and use Moloney's murine white blood tumor virus reverse transcriptase (Promega) Transforming RNA into complementary deoxyribonucleic acid (cDNA). Next, quantitative reverse transcription polymerase chain reaction (RT-PCR) was performed with a total mixture of 20 " containing lxSYBR GREEN PCR master mix, mixed with 0.5 forward and reverse primers, and 3 egCDNA. To detect primer pairs: interleukin 10 (IL-10) (SEQ ID NOs: 5 and 6), transforming growth factor cold (TGF-dots) (SEQ ID NO: 7 and 8), and GAPDH (SEQ ID NO: 9 and 10) are shown. In Table 2. Reactions were performed in a 96-well microtiter plate using an ABI PMSM 7500 Sequence Detection System (Applied Biosystems). The reaction mixture was first incubated at 50 ° C for 2 minutes and at 95 ° C for 1 Torr, followed by 40 cycles of amplification. The step of amplifying the reaction was denaturation at 95 ° C for 15 seconds, followed by adhesion at 55 ° C for 40 seconds, and at 72 ° C for 40 seconds. The amount of expression of mouse GAPDH was used as an internal reference. The relative gene expression was calculated by the 2·ΔΔ CT method, and the result was expressed as the mean S.D. (n=2). Compared with PBS alone, < 〇.〇卜 As shown in Figure 3, coconut water extract has a tendency to induce IL-10 (Fig. 3A) and TGF-call (Fig. 3B) gene expression in HaCaT cells. . 16 111906 201141500 Table 2 Introduction Name Sequence Serial Number IL-10 Pre-introduction 5, -GCC TAA CAT GCT TCG AGA TC-3, 5 IL-10 Inverse primer 5'-TGATGT CTG GGT CTT GGT TC-3, 6 TGF -/3 pre-priming 5,-AAA TGG ATA CAC GAA CCC AA-3, 7 ΎβΈ-β inverted primer 5'-GCT GCA TTT GCA AGA CTT TAC-3, 8 GAPDH pre-priming 5,-GCA AAT TCC ATG GCA CCG T -3, 9 GAPDH Inverse primer 5'-TCG CCC CAC TGATTT TGG-3, 10 Example 5 Effect of coconut water extract on TPA-induced ear skin inflammation model 8-week-old female BALB/c small gas system Purchased from the National Experimental Research Institute: Animal Testing Center (NLAC, Taiwan). In order to induce γ mouse strain in the mouse ear, the following formula was taken: in the absence of coconut material, or in two days. .2 small 5_'s Nvzi water (2: Apply 8〇_12_〇_14: linol-13-acetic acid vinegar (TPA, Sigma) to the skin of the mouse. The normal group is treated with pBs. Ugly 111906 17 201141500 After 6 hours and 36 λ of TPA treatment, the mouse ear skin thickness was recorded (Fig. 4). The results are expressed as mean ± SD (n = 2 to 6). Compared with the normal group ' # >< 0.05, _P < 〇〇〇b compared with τρΑ only, < 0.05, **P < 〇.〇1, < 〇〇〇卜 as shown in Figure 4, at 6 After 5 hours of TPA treatment, '5 mg/kg of the water extract of the scorpion had a significant inhibitory effect on the inflammatory response of the mouse ear-induced skin, and after 36 hours of TPA treatment, by 〇2, 】, 5 The water extract also significantly inhibited the inflammatory response of TPA-induced mouse ear skin. After 36 hours of TPA treatment, the bio-slice of mouse ear skin was stained with hematoxylin and eosin (Hemat〇xylin) And E〇sin) (h&e)

染色分析(第5A至5J圖)。第5a至5e圖的放大倍率為200 倍,第5F至5J圖的放大倍率為4〇〇倍。如第5B及5G圖 所示,相較於正常組(第5A至5F圖),80 y Μ TPA處理 顯著地誘導小鼠耳朵之皮膚水腫。另外,〇2mg/kg(第5C 及 5H 圖)、1 mg/kg (第 5D 及 51 圖)、5 mg/kg (第 5E 及 5J 圖)椰子水萃取物處理顯著地抑制τρΑ誘導的皮膚水腫並 且降低發炎細胞浸潤。 實施例6椰子水萃取物對於脂多醣誘導的肝細胞發炎的 效果 8至10週齡之C57BL/6J Narl小鼠係購買於國家實驗 研究院實驗動物中心(NLAC,台灣)。由先前文獻所描述的 方法加以修飾以分離肝細胞(Kreanier BL. et al. 1986、 18 111906 201141500Staining analysis (Fig. 5A to 5J). The magnifications of the 5th to 5e graphs are 200 times, and the magnifications of the 5F to 5J maps are 4 times. As shown in Figures 5B and 5G, 80 y Μ TPA treatment significantly induced skin edema in mouse ears compared to the normal group (Figures 5A to 5F). In addition, 〇2mg/kg (5C and 5H), 1 mg/kg (5D and 51), and 5 mg/kg (5E and 5J) coconut water extract treatment significantly inhibited τρΑ-induced skin edema And reduce the infiltration of inflammatory cells. Example 6 Effect of coconut water extract on lipopolysaccharide-induced hepatocyte inflammation C57BL/6J Narl mice, 8 to 10 weeks old, were purchased from the National Experimental Research Laboratory Animal Center (NLAC, Taiwan). Modified by methods described in the previous literature to isolate hepatocytes (Kreanier BL. et al. 1986, 18 111906 201141500

Kojima T. et al. 2001 及 Liu S. et al. 2002)。利用阿佛丁 (入乂6出11)(2%(评/¥)2,2,2-三溴乙醇,4.30〇1118/1^體重)麻 醉小鼠,隨後以含有0.5 mM乙二醇-雙(2-胺基乙基 醚)-N,N,N ,N -四乙酸(EGTA; Sigma-Aldrich)之不含約 離子的 Hank 平衡鹽溶液(Hank's balanced salt solution; HBSS)在下腔靜脈進行肝臟灌流技術。灌流液經由切斷的 肝門靜脈流出’且其流速為1 ml/min。經過10分鐘的灌流 後,將含有 0.05% (w/v)的膠原酶(collagenase) (Type II; Worthington Biochemical Corporation)以及 1 mM 的氯化辦 (Sigma-Aldrich)的HBSS溶液加入灌流裝置,持續以相同 的流速灌流十分鐘。移除部分經水解(digest)的肝臟,然後 放至裝有HBSS的60 mm培養盤(BD Falcon),並輕微地 剪碎,以使肝竇的肝細胞可以釋放出來。將剪碎的肝臟懸 浮液以尼龍膜(300 孔徑)過濾,之後以50xg離心3 分鐘,以獲得細胞沉澱物。將細胞沉澱物懸浮於DMEM培 養液(Gibco/Invitrogen),且在 35% (v/v) percoll (GE Healthcare)培養液中以50xg離心5分鐘。細胞沉澱物進 一步以DMEM培養液清洗兩次或三次,再以50xg離心3 分鐘,以獲得肝細胞。 將分離的肝細胞以近乎lxlO4 cells/well置於含有 10%FBS(Gibco)之 DMEM 培養液的 96 孔盤(Costar),然後 在附有水盤的培養箱(5% C02-95%空氣)中以37°C培養。 肝細胞然後以1或10 //g/ml脂多醣(LPS ; Sigma,USA) 在沒有椰子水萃取物(控制組)或存在0.1及1 y g/ml椰子 19 111906 201141500 水萃取物下,以含有2〇/0 (v/v) FBS(Gibc〇)的DMEM中培養 至隔曰。正常組係不以LPS亦不以椰子水萃取物處理。經 過24小時培養週期後,以DAN分析測量懸浮物的一氧化 氮(NO)產量’以及使用雷沙紫分析測量細胞存活率。 NO參與肝臟的發炎反應,因而可被當作指標,以評 估發炎反應的效果。2,3-二胺基萘(DAN,Sigma,USA)與亞 硝酸鹽在酸性的條件下可還原生成^旧卜萘并三唑,此產 物為一螢光產物。將1〇〇从丨樣本先加入盤中。將5〇 新 鮮配製的DAN (〇.〇5 mg/mi於〇 62 μ HC1中)加入並立即 混合。在37 C下培養1〇分鐘後,以25 “12 8Ν的Na〇H 中止反應。使用螢光分析儀以355 ηιη的激發光激發並且 讀取460 nm的發射光以測量螢光強度(Misk〇 τρ. et al. 1993)。結果表示為平均值±s D (n=6卜與控制組相比,*** 表示p < 0.001。如第6圖所示,在〇1和1 # g/mi的椰 子水萃取物皆可顯著地抑制以L p s誘導肝細胞之發炎的一 氧化氮產生。 細胞分化的能力可以雷沙紫分析來測量(N〇dari MM et al· 1998) ’其中雷沙紫染料為氧化還原反應的指示劑, 可以用來偵測細胞生長,但無法用來測量細胞死亡。配製 5 mM雷沙i#3(Sigma,USA)儲存溶液於填酸鹽緩衝生理 食鹽水(P B S ),且工作溶液(5 〇 # M)係從該儲存液使用不含 FBS的DMEM所稀釋。進行雷沙紫分析,將培養液移除, 接著將新鮮稀釋的雷沙紫工作溶液加入各個孔中。接著在 附有水盤的培養箱(5% C〇2_95%空氣)在37»c的條件下培 111906 20 201141500 養2小時,雷沙紫染料係藉由活細胞的活性而還原,且雷 沙紫的還原態係經由 Victor 2 1420 Multilable Counter (Wallac,PerkinElmer)在螢光激發波長530 nm及發射波長 590 nm下偵測。經投予椰子水萃取物的肝細胞係沒有細胞 毒性。因此,椰子水萃取物在處理發炎反應為有效的。 實施例7椰子水萃取物在D-GalN/LPS誘導的肝發炎對於 肝損傷的效果 8週齡之雄性C57BL/6J Narl小鼠係購買於國家實驗 研究院實驗動物中心(NLAC,台灣)。預備LPS/D-GalN誘 導急性肝發炎(Yamada I. et al. 2008),小鼠於腹腔注射(i.p.) 含有 D 胺基半乳糖(D-GalN ; Sigma,USA) (600 mg/kg 體 重)及脂多醣(LPS ; Sigma, USA) (8 pg/kg體重)之磷酸鹽 緩衝生理食鹽水。於合併注射LPS/D-GalN前24小時及30 分鐘’口服投予溶於開水中的椰子水萃取物(0.2及1 mg/kg 體重),控制組則給於等量的開水。正常組另於腹腔注射與 D-GalN及LPS注射液等量之PBS。於合併注射LPS/D-GalN 3小時後,收集血清樣本及肝臟組織,以分別分析血清轉 胺酶活性及mRNA量。 經由測量丙胺酸轉胺酶(Alanine Aminotransferase, ALT)(又稱穀胺酸丙嗣酸轉胺酶(Glutamic pyruvic transaminase,GPT))及天門冬胺酸轉胺酶(Aspartate aminotransferase,AST)(又稱榖胺酸草醋酸轉胺酶 (Glutamic oxaloacetic transaminase,GOT))的金清酵素活 21 111906 201141500 性’分別使用 GPT (ALAT) IFCC mod.及 GOT (ASAT) IFCC mod· (HUMAN GmbH,Germany)套組根據操作指南的使用 方法以評估肝損傷。結果表示為平均值至6)。 與控制組相比,**表示p < 〇.〇1及***表示p < 〇 〇(Π。如 第7Α及7Β圖所示,於D-GalN/LPS誘導肝發炎後,〇.2 mg/kg椰子水萃取物顯著地抑制GPT量,同時1 mg/kg椰 子水萃取物亦顯著地抑制GOT及GPT量。 利用RareRNA試劑(Bio-East,台灣)根據操作指南的使 用方法從肝組織分離全部核糖核酸(RNA),並且利用莫洛 尼氏鼠類白血腫瘤病毒反轉錄酶(Promega)將RNA轉為互 補去氧核糖核酸(cDNA)。接著進行定量反轉錄聚合酶鏈反 應(RT-PCR),其反應混合物總體積為20以1,包含lxSYBR GREEN PCR master mix,混有0.5 /z Μ的正向和反向引 子,以及3 /z g cDNA。欲偵測引子對:腫瘤壞死因子α (TNF-α)(序列編號11及12)和/3肌動蛋白(序列編號π 及14),係顯示於表3。此反應在96孔微滴盤以ABI PRISM 7500 Sequence Detector System (Applied Biosystems)進 行。反應混合物先在50 °C培養2分鐘及在95°C培養l〇 分鐘,接著進行40個循環的放大反應。此放大反應的步驟 為在95°C變性15秒、接著在55Ϊ黏接40秒及在72t延 展30秒。以小鼠冷肌動蛋白的表現量作為内部參考。相 對基因的表現量是以2-ΔΔσΓ方法計算。結果表示為平均值 土S.D.(n=4至6)。與控制組相比’ ***表示p < 0.001。如第 7C圖所示,0.2和1 mg/kg的椰子水萃取物皆顯著抑制 22 111906 201141500 D-GalN/LPS誘導的肝發炎之TNF-α表現。根據第7A至 7 C圖的結果所示,投予椰子水萃取物對於肝臟發炎(受損) 具有治療的功效。此外,椰子水萃取物之TNF-α抑制效果 可用於處理與TNF-α相關的免疫疾病及/或異常。 表三 引子名稱 序 列 序列 編號 TNF- a 前置引子 5,-CCA GGC AGT CAG ATC ATC TTC TC-3, 11 TNF-a 反置引子 5 ’-AGC TGG TTA TCT CTC AGC TCC AC -3 ’ 12 方肌動蛋白 前置引子 5,-GTG GGC CGC CCT AGG CAC CA-3’ 13 召肌動蛋白 反置引子 5’-TGG CCT TAG GGT TCA GGG GG-3, 14 實施例8椰子水萃取物對於D_GalN/Lps誘導肝發炎後之 小鼠的存活率的效果 9週齡之雄性C57BL/6J Narl小鼠係購買於國家實驗 研究院實驗動物中心(NLAC,台灣)。預備LPS/D-GalN誘 導急性肝發炎(Yamadal. etal. 2008),小鼠於腹腔注射(i.p.) 含有 D 胺基半乳糖(D-GalN; Sigma,USA) (600 mg/kg 體重) 及月曰多酿(LPS ; Sigma,USA) (8 pg/kg體重)之填酸鹽緩衝 23 111906 201141500 生理食鹽水。於合併注射LPS/D-GalN前24小時及30分 鐘,口服投予溶於開水中的椰子水萃取物(〇.2、1及5 mg/kg體量)兩次,控制組則給於等量的開水。正常組另於 腹腔注射與D-GalN及LPS注射液等量之PBS。如第8圖 顯示,0.2、1及5 mg/kg椰子水萃取物顯著降低D-GalN/LPS 誘導的肝發炎之小鼠的死亡率。 實施例9製備蛋白多醋(proteoglycan) 豬關節軟骨組織的蛋白多醣之製備方法為參照先前 文獻條件敘述進行修飾(Finnegan A. et al. 1999及Giant TT. and Mikecz K. 2004.)。簡而言之,軟骨切片後冷凍於_70 °C ’使用粉碎機(pulverizer)研磨,然後以4 Μ鹽酸胍 (guanidium hydrochloride » Sigma, USA)、10 mM EDTA (Sigma,USA)、2 mM 苯曱基績醯 I (phenylmethylsulfonyl fluoride ; PMSF ; Sigma,USA)、2 mM 碘代乙醯胺 0〇廿〇3〇6{311^廿6;81层11^,1;8入)及5((^/1111胃蛋白酶抑制劑 八化叩313以11八;8丨8〇1&,1;8八)在4。〇下萃取。24小時後,以 2000xg離心40分鐘,收集萃取液,以獲得懸浮液。懸浮 液進一步於氯化鉋(1.5 g/ml; Sigma,USA)梯度在4 °C下 75000xg離心48小時’以收集具有密度大於1.56 g/ml之 分餾物。於4 °C進行透析,以0.1 Μ醋酸鈉(Sigma,USA) 在pH 7.4進行透析(使用透析膜(snake skin pleated)透析管 3500 MW,Pierce)及去離子水透析四次後,冷凍乾燥分餾 物,以獲得蛋白多醣粗萃物,產率為0.51%。 24 111906 201141500 將蛋白多醣粗萃物在pH 8.0溶解於含有50 mM Tris . (UBS,USA)和60 mM醋酸鈉(Sigma,USA)的緩衝液,然後 以軟骨素分解酶(chodroitinaseABC; luint; Sigma,USA) 在37°C水解24小時。水解後,將缓衝液調整至pH 5.8, 進一步再加入角蛋白酶(keratinase; 5.6 uints; Sigma, USA),37°C下水解24小時,最後將蛋白多醣粗萃物,以 去離子Ηβ透析及冷凍乾燥,以獲得去醣化之蛋白多醣(耗 盡醣胺多醣側鏈的蛋白多醣),在本說明書中以此命名為蛋 白多醣(proteoglycan)。蛋白多醣係以12〇/〇變性十二烷基 硫酸納聚丙稀酿胺凝膠電泳(Sodium dodecyl sulfate-polyacrylamide gel electrophoresis; SDS-PAGE , 數據未顯 示)分析及確定。蛋白多醣的產率約為19.13〇/0。 實施例10椰子水萃取物對於蛋白多醣誘導之關節炎模型 的效果 蛋白多聽誘導的關節炎模型(類風溼性關節炎模型)係 參照先别文獻條件敘述進行修飾(Finnegan a. et al. 1999 及 Giant TT. and Mikecz Κ· 2004)。8 至 10 週齡之雌性 BALB/c小鼠係購買於國家實驗研究院實驗動物中心 (NLAC,Taiwan)。對於蛋白多醣誘導的關節.炎組,小鼠係 透過下列方法免疫化:在〇、14、28、42及63天,經由腹 腔注射蛋白多醣乳劑(含有1〇〇或5〇 蛋白多醣之磷酸 鹽緩衝生理食鹽水,及1 mg二曱基二(十八烷基)溴化錄 (dimethyldioctadecylammonium bromide» DDA; Sigma, USA) 25 111906 201141500 佐劑)。在第14天到實驗結束間,投予於飼料中添加0.2、 1及5 mg/kg/day之椰子水萃取物(分別為0.2、1及5 mg/kg/day組)。正常組則於腹腔注射PBS及投予小鼠標準 飼料(LabDiet®)。於第77天犧牲小鼠。 於實驗末期將5 mg/kg/day組的發生率及腳掌厚度迅 速增強作為控制組,且最終發生率約85% (第9A及9B 圖)。1 mg/kg/day組的最終發生率約40% (第9A及9B圖)。 1 mg/kg/day組的腳掌厚度只有輕微腫脹,且在注射最後一 次蛋白多醣後,於第73天發現其腳掌腫脹情形減緩(第9A 圖)。1 mg/kg/day組的腳掌腫脹情形及臨床上類風濕性關 節炎,係較三組椰子水萃取物處理之組減緩(第9A及9B 圖)。在實驗末期最後一次注射蛋白多醣後,0.2 mg/kg/day 組的發生率提高至約50%。在最後一次注射蛋白多醣後, 〇·2 mg/kg/day組的腳掌腫脹情形雖提高,但於73天開始 減緩’且與1 mg/kg/day組相似(第9A圖)。除此之外,實 驗期間’腳掌厚度及類風濕性關節炎的臨床徵狀係顯著低 於控制組(第0A及9B圖)。 椰子水被使用於營養配方飲料及食物產品,在民間用 藥上常用於減緩發燒,且可醫治腸胃炎、膀胱結石及冠狀 動脈心臟病(Mandal SM. et al. 2009)。此外,椰子水被報 導有抑制人類細菌性病原體活性及抗潰瘍的功效(Mandal SM. et al. 2009 及 Nneli RO. and Woyike OA. 2008)。因此, 挪子水在免疫反應方面仍有許多未知的影響。 本發明已證明椰子水萃取物可抑制TNF-α及NO產 26 111906 201141500 生,其係與發炎或自體免疫疾病有關’且可誘導IL-10及 . TGF- /5的產生,其係與減緩發炎反應有關(Lawrence T. and Gilroy D.W.2007 及 Serhan C.N. et al. 2007)。此外’椰 a 子水萃取物對於皮膚發炎、肝臟發炎及類風濕性關節炎, 特別是低劑量(例如低於2 mg/kg/day)具有治療效果,因此 其在免疫疾病及/或異常上具有免疫抑制之功效,例如,發 炎以及自體免疫疾病。本發明證實椰子水或是椰殼萃取物 可被用於治療免疫疾病及/或異常,並可抑制其發炎之臨床 症狀。 對於關節炎小鼠,2 mg/kg/day的治療劑量等同於60 kg 體重的人類為 0.162 mg/kg/day (Reagan-Shaw S. et al. 2008)。一顆揶子水果(含有約500 ml椰子水),可得到20 mg 的椰子水萃取物’對於人類而言,2 mg/kg/day椰子萃取物 的治療劑量約等同於每天飲用243 ml的椰子水,約半棵椰 子水果’其係近似於民間用藥使用量。因此,在普通的免 疫抑制處理中,即使投予高劑量(例如50 mg/kg/day的椰子 水萃取物)亦不會造成副作用,例如抑制免疫細胞增生及造 血功能。 現今仍有許多免疫疾病及/或異常需要經由抗發炎或 是免疫抑制處理來治療,例如皮膚發炎、肝臟發炎、關節 炎(例如類風濕性關節炎、骨關節炎、多發性結節性動脈炎 及急性痛風性關節炎)、過敏(例如氣喘、濕疹(異位性皮膚 炎)、過敏性鼻炎及眼睛過敏)、冷凝球蛋白血症、免疫性 血小板缺乏紫斑症、系統性血管炎、自體免疫性溶血性貧 27 111906 201141500 血、雷諾氏徵候群、系統性紅斑性狼瘡、硬皮症(系統性硬 化症)、非胰島素依賴性糠尿病(IDDM)、發炎性腸道疾病(例 如克隆氏症)(Koo AP. 2000、Davidson A. and Diamond B. 2001 及 Kim ΕΥ. and Moudgil KD. 2008)、敗血·症與敗血性 休克(Annane D. et al. 2009)、乾癬(Menter A. et al. 2009)及 貝賽特氏症(Sakane T. et al. 1999)。因此,投予椰子水萃取 物或椰殼萃取物有益於上述免疫疾病及/或異常,而無抗發 炎或是免疫抑制治療的缺點。 除此之外,本發明證明椰子水萃取物或椰殼萃取物能 抑制TNF- α。TNF- α為能產生各種細胞变態的細胞激 素’包含單核細胞及巨噬細胞,起初被認為能引起某些小 鼠腫瘤壞死。一連串對於TNF-α之效果的分析證明,TNF 在前發炎性細胞激素的網絡中扮演重要的角色。許多慢性 發炎的特徵像是白血球聚集、活化與增生,以及產生發炎 的媒介機制,皆與 TNF 有關(Tracey D.etal. 2008)。TNF-α涉及許多發炎疾病與異常的病原機制,同時係使用抗 TNF-α治療,像是風濕性關節炎、乾癬及乾癬性關節炎、 幼年型慢性關節炎、僵直性脊椎炎、發炎性腸道疾病(包含 克隆氏症)、潰瘍性大腸炎、貝赛特氏症、幼年特發性關節 炎、葡萄膜炎(Valesini G. et al. 2007、Wong M. et al. 2008 及Lin J· et al. 2008)、成人型史笛兒氏症、韋格納肉芽腫、 硬皮症、修格連氏症候群、類肉瘤、壞疽性膿皮症及多發 性肌炎與皮肌炎(Tutuncu Z. et al· 2002)。因此,椰子水萃 取物或揶殼萃取物可被用來治療這些與TNF- α相關的疾 28 111906 201141500 病及/或異常。 一田上述描述可知一…及描 明實&例’但可在不偏離本發明之精 略^ 種修飾。因此,除了附隨之申請專 …進订各 不欲用以限制本發明。—卜’前述範例係 以上具體實施例及實施例所描述之 釋本發明之原理以及實際應I從而使本發日/本身 明經過改變後能夠被應用在其他技術的特定用途。在不偏 離本發明之精神與範4下,經過改變實施的方式是可預見 而 的:因此’本發明所定義的範嘴為以下申請專利範圍 不是上述描述以及範例體現之内容。 本發明所引用及討論的參考資料包含專利、專利申請 以及已出版的文獻資料。本發明所引用及/或討論的參考資 料,其目的只為說明本發明内容,並非屬於本發明之先前 技術的範疇。本說明書中所有引用及討論的參考資料其全 部内谷係併入本文中,且對相同程度來說,各個參考資料 係以參照方式獨立併入。 參考文獻列舉如下:Kojima T. et al. 2001 and Liu S. et al. 2002). The mice were anesthetized with avertin (into 6 out of 11) (2% (review / ¥) 2,2,2-tribromoethanol, 4.30 〇 1118 / 1 ^ body weight), followed by containing 0.5 mM ethylene glycol - Bis (2-aminoethyl ether)-N,N,N,N-tetraacetic acid (EGTA; Sigma-Aldrich) Hank's balanced salt solution (HBSS) in the inferior vena cava Liver perfusion technology. The perfusate flowed out through the severed hepatic portal vein and its flow rate was 1 ml/min. After 10 minutes of perfusion, 0.05% (w/v) collagenase (Type II; Worthington Biochemical Corporation) and 1 mM Sigma-Aldrich HBSS solution were added to the perfusion device. Perfuse at the same flow rate for ten minutes. A portion of the digested liver was removed and placed in a 60 mm plate (BD Falcon) containing HBSS and slightly shredded to allow hepatocytes of the hepatic sinus to be released. The cut liver suspension was filtered through a nylon membrane (300 pore size), followed by centrifugation at 50 x g for 3 minutes to obtain a cell pellet. The cell pellet was suspended in DMEM medium (Gibco/Invitrogen) and centrifuged at 50 x g for 5 minutes in 35% (v/v) percoll (GE Healthcare) medium. The cell pellet was further washed twice or three times with DMEM medium, and then centrifuged at 50 x g for 3 minutes to obtain hepatocytes. The isolated hepatocytes were placed in a 96-well plate (Costar) containing 10% FBS (Gibco) in DMEM medium at approximately lxlO4 cells/well, and then in an incubator (5% C02-95% air) with a water tray. Incubate at 37 °C. Hepatocytes were then contained at 1 or 10 //g/ml lipopolysaccharide (LPS; Sigma, USA) in the absence of coconut water extract (control group) or in the presence of 0.1 and 1 yg/ml coconut 19 111906 201141500 water extract. 2〇/0 (v/v) FBS (Gibc〇) in DMEM was cultured to septum. The normal group was not treated with LPS nor with coconut water extract. After a 24-hour incubation period, the nitric oxide (NO) production of the suspension was measured by DAN analysis and the cell viability was measured using a Rasal assay. NO participates in the inflammatory response of the liver and can therefore be used as an indicator to assess the effects of an inflammatory response. 2,3-Diaminonaphthalene (DAN, Sigma, USA) and nitrite can be reduced under acidic conditions to form an old naphthacene triazole, which is a fluorescent product. Add 1 〇〇 from the 丨 sample to the plate first. Add 5 〇 freshly prepared DAN (〇.〇5 mg/mi in 〇 62 μ HC1) and mix immediately. After incubation for 1 min at 37 C, the reaction was stopped with 25"12 8 〇 Na〇H. The excitation light was excited with 355 ηιη using a fluorescence analyzer and the emission light at 460 nm was read to measure the fluorescence intensity (Misk〇) Τρ. et al. 1993). The results are expressed as mean ± s D (n = 6 b compared to the control group, *** means p < 0.001. As shown in Figure 6, in 〇 1 and 1 # g /mi's coconut water extract significantly inhibits nitric oxide production induced by L ps inflamed cells. The ability of cell differentiation can be measured by Rayleigh violet analysis (N〇dari MM et al. 1998) Sand violet dye is an indicator of redox reaction, which can be used to detect cell growth, but can not be used to measure cell death. Prepare 5 mM Rasha i#3 (Sigma, USA) storage solution in saline buffer physiological saline (PBS), and the working solution (5 〇# M) was diluted from the stock solution using DMEM without FBS. The Rasha violet analysis was performed, the culture solution was removed, and then the freshly diluted Rasha violet working solution was added. In each well, then in an incubator with a water tray (5% C〇2_95% air) at 37»c 1906 20 201141500 For 2 hours, the Rasha violet dye was reduced by the activity of living cells, and the reduced state of Rasha violet was stimulated by a Victor 2 1420 Multilable Counter (Wallac, PerkinElmer) at 530 nm and emission wavelength. Detection at 590 nm. The liver cell line administered with coconut water extract is not cytotoxic. Therefore, coconut water extract is effective in treating inflammatory reactions. Example 7 Coconut water extract induced in D-GalN/LPS Effect of liver inflammation on liver injury Male C57BL/6J Narl mice, 8 weeks old, were purchased from the National Experimental Research Laboratory Animal Center (NLAC, Taiwan). Preparation of LPS/D-GalN induced acute liver inflammation (Yamada I. et al 2008), mice were injected intraperitoneally (ip) with D-aminogalactose (D-GalN; Sigma, USA) (600 mg/kg body weight) and lipopolysaccharide (LPS; Sigma, USA) (8 pg/kg body weight) Phosphate buffered saline solution. Oral administration of coconut water extract (0.2 and 1 mg/kg body weight) dissolved in boiling water 24 hours and 30 minutes before LPS/D-GalN injection, the control group gave Is equal to boiled water. Normal group is injected intraperitoneally D-GalN LPS injection and the same amount of PBS. The combined after the injection of LPS / D-GalN 3 hours, the serum samples were collected and liver tissues, respectively Serum transglutaminase activity and the amount of mRNA. By measuring Alanine Aminotransferase (ALT) (also known as Glutamic pyruvic transaminase (GPT)) and Aspartate aminotransferase (AST) (also known as Aspartate aminotransferase (AST)) Glutamic oxaloacetic transaminase (GOT), Jinqing Enzyme Activity 21 111906 201141500 Sex 'GPT (ALAT) IFCC mod. and GOT (ASAT) IFCC mod· (HUMAN GmbH, Germany) The group was evaluated according to the method of operation to assess liver damage. Results are expressed as mean to 6). Compared with the control group, ** means p < 〇.〇1 and *** means p < 〇〇 (Π. As shown in Figures 7 and 7Β, after D-GalN/LPS induces liver inflammation, 〇 The .2 mg/kg coconut water extract significantly inhibited the amount of GPT, while the 1 mg/kg coconut water extract also significantly inhibited GOT and GPT levels. Using RareRNA reagent (Bio-East, Taiwan) according to the instructions for use. The liver tissue is isolated from all ribonucleic acid (RNA) and the RNA is converted to complementary deoxyribonucleic acid (cDNA) using Moloney's murine white blood tumor virus reverse transcriptase (Promega). The quantitative reverse transcription polymerase chain reaction is then performed ( RT-PCR), the total volume of the reaction mixture was 20 to 1, including lxSYBR GREEN PCR master mix, mixed forward and reverse primers of 0.5 /z Μ, and 3 /zg cDNA. To detect primer pair: tumor necrosis Factor alpha (TNF-alpha) (SEQ ID NO: 11 and 12) and /3 actin (SEQ ID NO: π and 14) are shown in Table 3. This reaction was performed on a 96-well microtiter plate with the ABI PRISM 7500 Sequence Detector System ( Applied Biosystems) The reaction mixture was first incubated at 50 °C for 2 minutes and at 95 °C for 1 minute, then proceeded 40 cycles of amplification reaction. The steps of this amplification reaction were denaturation at 95 ° C for 15 seconds, followed by adhesion at 55 ° for 40 seconds and at 72 ° for 30 seconds. The expression of mouse cold actin was used as an internal reference. The expression amount of the gene was calculated by the 2-ΔΔσΓ method. The result was expressed as the mean soil SD (n=4 to 6). Compared with the control group, '*** indicates p < 0.001. As shown in Fig. 7C, 0.2 And 1 mg/kg of coconut water extract significantly inhibited the TNF-α expression of liver inflammation induced by 22 111906 201141500 D-GalN/LPS. According to the results of Figures 7A to 7 C, coconut water extract was administered. Inflammation of the liver (impaired) has therapeutic effects. In addition, the TNF-α inhibitory effect of coconut water extract can be used to treat immune diseases and/or abnormalities associated with TNF-α. Table 3 Introduction Name Sequence Serial Number TNF- a before Introduction 5, -CCA GGC AGT CAG ATC ATC TTC TC-3, 11 TNF-a Inverse primer 5 '-AGC TGG TTA TCT CTC AGC TCC AC -3 ' 12 square actin preamplifier 5,-GTG GGC CGC CCT AGG CAC CA-3' 13 Calling Actin Inversion Primer 5'-TGG CCT TAG GGT TCA GGG GG-3, 14 Example 8 Effect of Coconut Water Extract on Survival Rate of D_GalN/Lps-Induced Liver Inflammation in Mice Male-female C57BL/6J Narl mice at 9 weeks of age were purchased from the National Experimental Research Laboratory Animal Center ( NLAC, Taiwan). Preparing LPS/D-GalN to induce acute hepatic inflammation (Yamadal. et al. 2008), mice were injected intraperitoneally (ip) with D-aminogalactose (D-GalN; Sigma, USA) (600 mg/kg body weight) and month曰 酿 (LPS; Sigma, USA) (8 pg / kg body weight) of the salt buffer 23 111906 201141500 physiological saline. At 24 hours and 30 minutes before the combined injection of LPS/D-GalN, the coconut water extract (〇2, 1 and 5 mg/kg volume) dissolved in boiling water was orally administered twice, and the control group was given The amount of boiling water. The normal group was also intraperitoneally injected with the same amount of PBS as D-GalN and LPS injections. As shown in Figure 8, 0.2, 1 and 5 mg/kg coconut water extract significantly reduced mortality in D-GalN/LPS-induced liver-inflamed mice. Example 9 Preparation of Proteoglycan Proteoglycan Proteoglycans were prepared by reference to previous literature conditions (Finnegan A. et al. 1999 and Giant TT. and Mikecz K. 2004.). Briefly, cartilage sections were frozen at _70 °C 'milled using a pulverizer, then 4 guanidine hydrochloride (Sigma, USA), 10 mM EDTA (Sigma, USA), 2 mM benzene Phenyl 醯 醯 ( I (phenylmethylsulfonyl fluoride; PMSF; Sigma, USA), 2 mM iodoacetamide 0 〇廿〇 3 〇 6 {311 ^ 廿 6; 81 layers 11 ^, 1; 8 into) and 5 (( ^/1111 pepsin inhibitor saponin 313 was extracted at 11 8; 8 丨 8 〇 1 amp 1 & 1, 8 VIII. 4. After 24 hours, centrifuged at 2000 x g for 40 minutes, and the extract was collected to obtain Suspension. The suspension was further centrifuged at 75000 xg for 48 hours at 4 °C in a gradient of chlorinated (1.5 g/ml; Sigma, USA) to collect fractions with a density greater than 1.56 g/ml. Dialysis at 4 °C After dialysis with 0.1 Μ sodium acetate (Sigma, USA) at pH 7.4 (using a dialysis membrane (snake skin pleated dialysis tube 3500 MW, Pierce) and deionized water for four times, the fraction was freeze-dried to obtain proteoglycan Crude extract, yield 0.51%. 24 111906 201141500 The crude proteoglycan extract was dissolved in 50 mM Tris at pH 8.0 (UBS, U SA) and 60 mM sodium acetate (Sigma, USA) buffer, then hydrolyzed with chondroitinase (chodroitinase ABC; luint; Sigma, USA) for 24 hours at 37 ° C. After hydrolysis, the buffer was adjusted to pH 5.8, Further adding keratinase (keratinase; 5.6 uints; Sigma, USA), hydrolysis at 37 ° C for 24 hours, and finally the crude extract of proteoglycan, deionized Ηβ dialysis and freeze-drying to obtain de-glycosylated proteoglycan (consumption) The proteoglycans of the glycosaminoglycan side chain are named proteoglycan in this specification. The proteoglycans are deuterated by 12 〇/〇 denatured dodecyl sulfate nanopolyacrylamide gel electrophoresis (Sodium dodecyl) Sulfate-polyacrylamide gel electrophoresis; SDS-PAGE, data not shown) Analysis and determination. The yield of proteoglycan was about 19.13 〇 / 0. Example 10 Effect of coconut water extract on proteoglycan-induced arthritis model The induced arthritis model (rheumatoid arthritis model) was modified with reference to the literature conditions (Finnegan a. et al. 1999 and Giant TT. and Mikecz Κ 2004). Female BALB/c mice from 8 to 10 weeks of age were purchased from the National Experimental Research Laboratory Animal Center (NLAC, Taiwan). For the proteoglycan-induced joint inflammation group, the mice were immunized by intraperitoneal injection of proteoglycan emulsion (phosphate containing 1 or 5 g of proteoglycan) on sputum, 14, 28, 42 and 63 days. Buffered physiological saline, and 1 mg of dimethyldioctadecylammonium bromide» DDA; Sigma, USA 25 111906 201141500 adjuvant). From day 14 to the end of the experiment, 0.2, 1 and 5 mg/kg/day of coconut water extract (0.2, 1 and 5 mg/kg/day, respectively) was added to the feed. In the normal group, PBS was injected intraperitoneally and the mouse standard diet (LabDiet®) was administered. The mice were sacrificed on day 77. At the end of the experiment, the incidence of the 5 mg/kg/day group and the thickness of the sole of the foot were rapidly increased as the control group, and the final incidence was about 85% (Figures 9A and 9B). The final incidence of the 1 mg/kg/day group was approximately 40% (Figures 9A and 9B). In the 1 mg/kg/day group, the thickness of the sole of the foot was only slightly swollen, and after the last proteoglycan injection, the paw swelling was slowed down on the 73rd day (Fig. 9A). The swelling of the soles of the 1 mg/kg/day group and the clinical rheumatoid arthritis were slower than those of the three groups of coconut water extracts (Figures 9A and 9B). After the last injection of proteoglycan at the end of the experiment, the incidence of the 0.2 mg/kg/day group increased to approximately 50%. After the last injection of proteoglycan, the swelling of the paw of the 〇·2 mg/kg/day group increased, but began to slow down at 73 days' and was similar to the 1 mg/kg/day group (Fig. 9A). In addition, the clinical signs of foot thickness and rheumatoid arthritis were significantly lower during the trial than in the control group (Figures 0A and 9B). Coconut water is used in nutritional formulas and food products. It is commonly used in folk medicine to slow down fever and treat gastroenteritis, bladder stones and coronary heart disease (Mandal SM. et al. 2009). In addition, coconut water has been reported to inhibit human bacterial pathogen activity and anti-ulcer effects (Mandal SM. et al. 2009 and Nneli RO. and Woyike OA. 2008). Therefore, there are still many unknown effects on the immune response. The present invention has proved that coconut water extract can inhibit the production of TNF-α and NO 26 111906 201141500, which is related to inflammation or autoimmune diseases and can induce the production of IL-10 and TGF- /5. Reducing the inflammatory response (Lawrence T. and Gilroy DW2007 and Serhan CN et al. 2007). In addition, 'coa a water extract has therapeutic effects on skin inflammation, liver inflammation and rheumatoid arthritis, especially at low doses (eg below 2 mg/kg/day), so it is immune to diseases and/or abnormalities. It has immunosuppressive effects such as inflammation and autoimmune diseases. The present invention demonstrates that coconut water or coconut shell extract can be used to treat immune diseases and/or abnormalities and to inhibit the clinical symptoms of inflammation. For arthritic mice, the therapeutic dose of 2 mg/kg/day is equivalent to 0.162 mg/kg/day for humans at 60 kg body weight (Reagan-Shaw S. et al. 2008). A hazelnut fruit (containing about 500 ml of coconut water) gives 20 mg of coconut water extract. For humans, the therapeutic dose of 2 mg/kg/day coconut extract is about the same as that of 243 ml of coconut per day. Water, about half of coconut fruit's is similar to the amount of folk medicine used. Therefore, in a general immunosuppressive treatment, even a high dose (e.g., a 50 mg/kg/day coconut water extract) does not cause side effects such as suppression of immune cell proliferation and hematopoietic function. Many immune diseases and/or abnormalities still need to be treated by anti-inflammatory or immunosuppressive treatments, such as skin inflammation, liver inflammation, arthritis (such as rheumatoid arthritis, osteoarthritis, multiple nodular arteritis and Acute gouty arthritis), allergies (such as asthma, eczema (atopic dermatitis), allergic rhinitis and eye allergies), condensed globulinemia, immune platelet deficiency, purple spot, systemic vasculitis, autologous Immune hemolytic poor 27 111906 201141500 Blood, Raynaud's syndrome, systemic lupus erythematosus, scleroderma (systemic sclerosis), non-insulin-dependent diabetes mellitus (IDDM), inflammatory bowel disease (eg cloning) Disease (Koo AP. 2000, Davidson A. and Diamond B. 2001 and Kim ΕΥ. and Moudgil KD. 2008), septicemia and septic shock (Annane D. et al. 2009), cognac (Menter A) Et al. 2009) and Bethel's disease (Sakane T. et al. 1999). Therefore, administration of coconut water extract or coconut shell extract is beneficial to the above-mentioned immune diseases and/or abnormalities without the disadvantages of anti-inflammatory or immunosuppressive treatment. In addition, the present invention demonstrates that coconut water extract or coconut shell extract inhibits TNF-α. TNF-α is a cytokines that produce a variety of cellular metamorphosis, including monocytes and macrophages, which were originally thought to cause tumor necrosis in some mice. A series of analyses of the effects of TNF-[alpha] demonstrate that TNF plays an important role in the network of pro-inflammatory cytokines. Many chronic inflammations are characterized by white blood cell aggregation, activation and proliferation, and mediators of inflammation that are associated with TNF (Tracey D. et al. 2008). TNF-α is involved in many pathogenic mechanisms of inflammatory diseases and abnormalities, and is treated with anti-TNF-α, such as rheumatoid arthritis, dryness and dryness arthritis, juvenile chronic arthritis, ankylosing spondylitis, inflammatory bowel Diseases (including Crohn's disease), ulcerative colitis, Bessel's disease, juvenile idiopathic arthritis, uveitis (Valesini G. et al. 2007, Wong M. et al. 2008 and Lin J· Et al. 2008), adult schizophrenia, Wegener granulomatosis, scleroderma, sedative syndrome, sarcoma, gangrenous pyoderma and polymyositis and dermatomyositis (Tutuncu Z. Et al. 2002). Therefore, coconut water extract or clam shell extract can be used to treat these TNF-α related diseases and/or abnormalities. The above description of a field can be seen as a description of the actual &amplifications, but without departing from the precise modifications of the invention. Therefore, it is not intended to limit the invention except as to the accompanying application. The foregoing examples are illustrative of the principles of the present invention and the actual application of the present invention so that the present invention can be applied to the specific use of other techniques. The manner in which the implementation is changed is foreseeable without departing from the spirit and scope of the invention: therefore, the scope of the invention as defined in the present invention is not the above description and the examples. References cited and discussed herein include patents, patent applications, and published literature. The materials referred to and/or discussed in the present invention are intended to be illustrative only and not to be considered in the scope of the prior art. All references and discussion references in this specification are hereby incorporated by reference in their entirety in their entireties in the the the the the the the The references are listed below:

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Wong M. et al. 2008. Clin Immunol. 126:121-136. Yamada I. et al. 2008. Cytokine. 41:293-301. 【圖式簡單說明】 第1圖的圖示顯示椰子水萃取物或椰殼萃取物對於 LPS誘導RAW 264.7細胞發炎之效果。控制組係投予脂多 醣(LPS)以誘導發炎的RAW 264.7細胞。處理組係投予存 在0.1、1及10〆g/ml椰子水萃取物或1、10及100 /z g/ml 椰殼萃取物的LPS。正常組係不以LPS處理亦不以椰子水 萃取物或椰殼萃取物處理。藉由DAN分析測量一氧化氮 (NO)的產生,即發炎指標。結果以平均值±8.0.表示(n=6)。 *表示 p < 0.05。 第2圖的圖示顯示椰子水萃取物在TPA刺激的HaCaT 細胞對於TNF-α基因表現之效果。角質細胞細胞株HaCaT 細胞(2.5xl05細胞/孔;在6孔盤中)在含有具有不同椰子 水萃取物(0、0.1、1及10 V g/ml)濃度之TPA (2 ng/ml)的 培養液中培養。在以TPA及椰子水萃取物之6小時培養週 期後,藉由即時PCR分析TNF-α的mRNA濃度。結果以 平均值±S.D.表示(n=2)。與PBS處理組相比##p<001。與 不含 TPA 組相比*P<0.05,**P<0.01。 第3圖的圖示顯示在HaCaT細胞以椰子水萃取物誘導 111906 32 201141500 IL-10 (第3A圖)與TGF-点(第3B圖)之mRNA表現。角 質細胞細胞株HaCaT細胞(2.5χ105細胞/孔;在6孔盤中) 在含有揶子水萃取物(〇、〇· 1、1及1 〇 β g/m〇的培養液中 培養。在以椰子水萃取物之6小時培養週期後,藉由即時 PCR分析IL-10與TGF-/?的mRNA量。結果以平均值±S.D· 表示(n=2)。僅與PBS組相比**ρ<〇.〇1。 第4圖的圖示顯示椰子水萃取物對於TPA誘導的小鼠 耳朵厚度之效果。TPA 80# Μ對小鼠耳朵的上皮膚外觀導 致皮膚水腔的誘導’且在兩天以挪子水萃取物(〇·2、1及5 mg/kg/day)預處理’以劑量依賴的方式抑制皮膚水腫的誘 導。結果以平均值±8.0.表示。與正常組相比#p < 0.05,# "Ρ<0·001。僅與以TPA處理組相比*P<0.〇5,**P< 0.01,***P<0.001° 第5圖的圖示顯示椰子水萃取物對於TPA誘導的耳朵 水腫及細胞浸潤的效果。第5A至圖的放大倍數為200 倍,第5F至5J圖為400倍。耳朵皮膚活組織切片係在局 部TPA (80/zM)處理36小時後所收集。以不同劑量之椰子 水萃取物(G.2、1及5mg/kg/day)經口服地預處理兩天,可 以抑制皮膚水腫的誘導,且在TPA處理後降低發炎細胞的 發炎作用。 第6圖的圖示顯示椰子水萃取物對於脂多醋誘導肝細 胞發炎的效果。控制組係好脂多叫摩誘導發炎的肝 細胞。處理組係在〇 1及] / *及1 Μ/ΙΏ1椰子水萃取物的存在下 才又予LPS。正常組係不以lps處理 处理亦不以椰子水萃取物處 111906 33 201141500 理。藉由DAN分析測量一氧化氮(NO)的產生,發炎指標。 結果以平均值土S.D.表示(n=6)。***表示p<〇 〇〇1 0 第7A圖的圖示顯示椰子水萃取物在D-GalN/LPS誘 導肝發炎小鼠模型對於肝損傷的效果。控制組係投予D胺 基半乳糖(D-GalN)及脂多醣(LPS)以誘導肝發炎。正常組係 給予磷酸鹽緩衝生理食鹽水(PBS)代替D-GalN及LPS,並 餵食0.2及1 mg/kg/day劑量的椰子水萃取物。決定榖胺酸 草醋酸轉胺酶(GOT)的活性。結果以平均值±S D表示(n=4 至 6)。***表示 ρ<〇.〇〇ι 〇 第7B圖的圖示顯示椰子水萃取物在D_GalN/LPS誘 導肝發炎小鼠模型對於肝損傷的效果。決定榖胺酸丙酮酸 轉胺酶(GPT)的活性。結果以平均值±S D表示(n=4至6)。 **表示 p<0.01。 第7C圖的圖示顯示椰子水萃取物在D_GalN/Lps誘導Wong M. et al. 2008. Clin Immunol. 126:121-136. Yamada I. et al. 2008. Cytokine. 41:293-301. [Simplified Schematic] Figure 1 shows a coconut water extract Or the effect of coconut shell extract on the inflammation of RAW 264.7 cells induced by LPS. The control group was administered lipopolysaccharide (LPS) to induce inflamed RAW 264.7 cells. The treatment group was administered LPS containing 0.1, 1 and 10 g/ml coconut water extract or 1, 10 and 100 / z g/ml coconut shell extract. The normal group was not treated with LPS nor treated with coconut water extract or coconut shell extract. The production of nitric oxide (NO), an indicator of inflammation, was measured by DAN analysis. The results are expressed as mean ± 8.0. (n = 6). * indicates p < 0.05. Figure 2 is a graphical representation showing the effect of coconut water extract on THA-stimulated HaCaT cells for TNF-α gene expression. Keratinocyte cell line HaCaT cells (2.5 x 105 cells/well; in 6-well plates) containing TPA (2 ng/ml) with different concentrations of coconut water extract (0, 0.1, 1 and 10 V g/ml) Culture in culture medium. The mRNA concentration of TNF-α was analyzed by real-time PCR after a 6-hour culture period of TPA and coconut water extract. The results are expressed as mean ± S. D. (n = 2). Compared with the PBS treatment group ##p<001. *P<0.05, **P<0.01 compared to the TPA-free group. Figure 3 is a graphical representation showing mRNA expression in HaCaT cells induced by coconut water extracts 111906 32 201141500 IL-10 (Fig. 3A) and TGF-dots (Fig. 3B). The keratinocyte cell line HaCaT cells (2.5χ105 cells/well; in a 6-well plate) were cultured in a culture medium containing scorpion water extracts (〇, 〇·1, 1 and 1 〇β g/m〇). After 6 hours of culture period of coconut water extract, the mRNA levels of IL-10 and TGF-/? were analyzed by real-time PCR. The results were expressed as mean ± SD· (n=2). Only compared with PBS group** ρ<〇.〇1. The diagram in Figure 4 shows the effect of coconut water extract on TPA-induced mouse ear thickness. TPA 80# 上 The appearance of the upper skin of the mouse ear results in the induction of skin water cavity' and Two days of pretreatment with Nippon water extract (〇·2, 1 and 5 mg/kg/day) inhibited the induction of skin edema in a dose-dependent manner. The results were expressed as mean ± 8.0. Compared with the normal group #p <0.05,#"Ρ<0·001. Only as compared with the TPA-treated group *P<0.〇5, **P<0.01, ***P<0.001° Figure 5 The effect of coconut water extract on TPA-induced ear edema and cell infiltration is shown. The magnification of Figure 5A to Figure is 200 times, and that of Figure 5F to 5J is 400 times. The ear skin biopsy is local. TPA (80/zM) was collected after 36 hours of treatment. Different doses of coconut water extract (G.2, 1 and 5 mg/kg/day) were orally pretreated for two days to inhibit the induction of skin edema. The inflammatory effect of inflammatory cells is reduced after TPA treatment. The illustration in Fig. 6 shows the effect of coconut water extract on the inflammation of hepatocytes induced by lipopoly vinegar. The control group is a liver cell that induces inflammation and induces inflammation. LPS is given in the presence of 〇1 and] / * and 1 Μ/ΙΏ1 coconut water extract. The normal group is not treated with lps nor with coconut water extract at 111906 33 201141500. DAN analysis Nitric oxide (NO) production, inflammation index. The results are expressed as mean soil SD (n=6). *** indicates p<〇〇〇1 0 Figure 7A shows coconut water extract in D- GalN/LPS induces the effect of liver inflammatory mouse model on liver injury. The control group is administered D-GalN and lipopolysaccharide (LPS) to induce liver inflammation. The normal group is given phosphate buffered physiological saline. Water (PBS) instead of D-GalN and LPS, and fed with coconut water extract at doses of 0.2 and 1 mg/kg/day Determine the activity of lysine acetate transaminase (GOT). The results are expressed as mean ± SD (n = 4 to 6). *** indicates that ρ < 〇. 〇〇 ι 〇 Figure 7B shows the coconut The effect of aqueous extracts on liver injury in a mouse model of hepatic inflammation induced by D_GalN/LPS. Determine the activity of arginine pyruvate transaminase (GPT). The results are expressed as mean ± S D (n = 4 to 6). ** means p<0.01. Figure 7C shows a coconut water extract induced at D_GalN/Lps

肝發炎小鼠模型對於TNF_a表現的效果。ΤΝρ·α的mRNA 量係藉由即時PCR決定。結果以平均值削表示㈣至 6)。***表示 p<〇 〇〇1。 第8圖的圖不顯示相P子水萃取物對於小鼠共注射 LPS/D-GalN後的存活曲線之效果。每一組由6至8隻小鼠 組成小鼠係&腹腔注射D_Ga叫刪mg/kg體重)及Lps (Wg/kg體重)。在D-GalN及奶注射之前,口服投予椰 子水萃取物(OU'Smg/kg體重)。 #第9A圖的圖不顯示椰子水萃取物在蛋白多醣誘導的 關郎炎小鼠模型中鮮於後肢厚度的效果。控制組係投予蛋 34 111906 201141500 白多醣以誘導關節炎。正常組係給予磷酸鹽緩衝生理食鹽 水(PBS)代替蛋白多醣。處理組係投予蛋白多醣,並餵食 0.2、1及5 mg/kg/day劑量的椰子水萃取物。 第9B圖的圖示顯示椰子水萃取物在蛋白多醣誘導的 關節炎小鼠模型中對於類風濕性關節炎指數的效果。椰子 水萃取物係在0.2、1及5 mg/kg/day劑量下投予。 【主要元件符號說明】 無。 35 111906The effect of a liver inflamed mouse model on TNF_a performance. The amount of mRNA of ΤΝρ·α is determined by real-time PCR. The results are expressed as mean cuts (4) to 6). *** means p<〇 〇〇1. The graph of Fig. 8 does not show the effect of the phase P water extract on the survival curve of mice after co-injection of LPS/D-GalN. Each group consisted of 6 to 8 mice consisting of a mouse line & intraperitoneal injection of D_Ga called mg/kg body weight) and Lps (Wg/kg body weight). Coconut water extract (OU'Smg/kg body weight) was orally administered prior to D-GalN and milk injection. #图图图9A does not show the effect of coconut water extract on fresh hind limb thickness in a proteoglycan-induced mouse model of Guanlangyan. The control group was given eggs 34 111906 201141500 White polysaccharide to induce arthritis. The normal group was given phosphate buffered saline (PBS) instead of proteoglycan. The treatment group was administered proteoglycan and fed a 0.2, 1 and 5 mg/kg/day dose of coconut water extract. Figure 9B is a graphical representation showing the effect of coconut water extract on the rheumatoid arthritis index in a proteoglycan-induced arthritis mouse model. Coconut water extract was administered at doses of 0.2, 1 and 5 mg/kg/day. [Main component symbol description] None. 35 111906

Claims (1)

201141500 七、申請專利範圍: 1. 一種用於在需要的對象上治療與腫瘤壞死因子α (TNF-α)相關聯之免疫疾病及/或異常之方法,包括對 該需要的對象投予治療有效量的椰子水萃取物或椰殼 萃取物,以誘導轉化生長因子/9 (TGF-β)或白細胞介 素10 (IL-10)作為内生性免疫抑制因子。 2. 如申請專利範圍第1項所述之方法,其中,該椰子水萃 取物或椰殼萃取物係藉由下述方法製備,包括: (a) 將椰子水或椰殼水通過樹脂吸附型層析管柱,其 中,該椰殼水係將水加至椰殼而獲得; (b) 以水洗滌該管柱;以及 (c) 以能夠從該管柱解吸附該椰子水萃取物或該椰 殼萃取物之任何溶液或溶劑之組合洗提該管柱。 3. 如申請專利範圍第2項所述之方法,其中,該解吸附溶 液或溶劑係有機溶劑、水或其任何組合。 4. 如申請專利範圍第3項所述之方法,其中,該有機溶劑 係至少一種選自由甲醇、乙醇、乙腈、丙酮、異丙醇及 其任何組合所組成之群組者。 5. 如申請專利範圍第4項所述之方法,其中,該有機溶劑 係至少一種選自由甲醇、乙醇及其任何組合所組成之群 組者。 6. 如申請專利範圍第1項所述之方法,其中,該免疫疾病 及/或異常係至少一種選自由下列所組成之群組者:皮 膚發炎、肝臟發炎、類風濕性關節炎、骨性關節炎、結 1 111906 201141500 節性多動脈炎、急性痛風性關節炎、哮喘、濕修(異位 . 性皮膚炎)、過敏性鼻炎、眼睛過敏、冷球蛋白血症、 • 原發性血小板減少性紫癜、系統性血管炎、自體免疫性 溶血性貧血、雷諾氏現象、系統性紅斑狼瘡、硬皮病(系 - 統性硬化症)、胰島素依賴型糖尿病、炎性腸道疾病、 , 敗血症、感染性休克、牛皮癖和白塞氏病。 7. 如申請專利範圍第1項所述之方法,其中,該免疫疾病 及/或異常係至少一種選自由下列所組成之群組者:皮 膚發炎、肝臟發炎及類風濕性關節炎。 8. 如申請專利範圍第1項所述之方法,其中,該對象患有 皮膚發炎。 ~ 9. 如申請專利範圍第丨項所述之方法,其中,該對象患有 肝臟發炎。 〜 10. 如申請專利範圍第丨項所述之方法,其中,該對象患有 類風濕性關節炎。 ^ 如申,專利範圍帛i項所述之方法,其巾,該投予治療 有效量的椰子水萃取物或椰殼萃取物具有轉化生長因 子yS (TGF-泠)或白細胞介素10(11^1〇)之誘導效果,以 作為用於治療免疫疾病及/或異常之内生性免疫抑制因 子。 12. 如申請專利範圍第丨項所述之方法,其中,該椰子水萃 取物或該椰殼萃取物包括至少—種物、雙酶、寡 多醣。 13. 如申請專利範項所叙枝,其巾,該單聽係 111906 2 201141500 至少一種葡萄糖及甘露糖。 14. 一種用於治療與腫瘤壞死因子a (TNF-o:)相關聯之免 疫疾病及/或異常之醫藥組成物,包括治療有效量的椰 子水萃取物或椰殼萃取物。 15. 如申請專利範圍第14項所述之醫藥組成物,係呈錠劑 或膠囊之型式。 3 111906201141500 VII. Scope of Application: 1. A method for treating immune diseases and/or abnormalities associated with tumor necrosis factor alpha (TNF-α) on a subject in need thereof, comprising administering a therapeutically effective treatment to a subject in need thereof An amount of coconut water extract or coconut shell extract to induce transforming growth factor/9 (TGF-β) or interleukin 10 (IL-10) as an endogenous immunosuppressive factor. 2. The method according to claim 1, wherein the coconut water extract or the coconut shell extract is prepared by the following method, comprising: (a) passing coconut water or coconut shell water through a resin adsorption type a chromatography column, wherein the coconut shell water is obtained by adding water to the coconut shell; (b) washing the column with water; and (c) being capable of desorbing the coconut water extract from the column or The column is eluted by any solution or combination of solvents of the coconut shell extract. 3. The method of claim 2, wherein the desorption solution or solvent is an organic solvent, water, or any combination thereof. 4. The method of claim 3, wherein the organic solvent is at least one selected from the group consisting of methanol, ethanol, acetonitrile, acetone, isopropanol, and any combination thereof. 5. The method of claim 4, wherein the organic solvent is at least one selected from the group consisting of methanol, ethanol, and any combination thereof. 6. The method of claim 1, wherein the immune disease and/or abnormality is at least one selected from the group consisting of: inflammation of the skin, inflammation of the liver, rheumatoid arthritis, bonyness Arthritis, knot 1 111906 201141500 Segmental polyarteritis, acute gouty arthritis, asthma, wet repair (ectopic dermatitis), allergic rhinitis, eye allergy, cryoglobulinemia, • primary platelets Reduced purpura, systemic vasculitis, autoimmune hemolytic anemia, Raynaud's phenomenon, systemic lupus erythematosus, scleroderma (systemic sclerosis), insulin-dependent diabetes mellitus, inflammatory bowel disease, Sepsis, septic shock, psoriasis and Behcet's disease. 7. The method of claim 1, wherein the immune disease and/or abnormality is at least one selected from the group consisting of skin inflammation, liver inflammation, and rheumatoid arthritis. 8. The method of claim 1, wherein the subject has skin irritation. ~ 9. The method of claim 2, wherein the subject has liver inflammation. The method of claim 2, wherein the subject has rheumatoid arthritis. ^ The method of claim 1, wherein the therapeutically effective amount of coconut water extract or coconut shell extract has transforming growth factor yS (TGF-泠) or interleukin 10 (11) The induction effect of ^1〇) is used as an endogenous immunosuppressive factor for treating immune diseases and/or abnormalities. 12. The method of claim 2, wherein the coconut water extract or the coconut shell extract comprises at least - a seed, a double enzyme, an oligosaccharide. 13. As stated in the patent application, the towel, the single listener 111906 2 201141500, at least one glucose and mannose. 14. A pharmaceutical composition for the treatment of an immune disease and/or abnormality associated with tumor necrosis factor a (TNF-o:), comprising a therapeutically effective amount of a coconut water extract or a coconut shell extract. 15. The pharmaceutical composition as described in claim 14 is in the form of a lozenge or capsule. 3 111906
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